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. � -����r/� ��-C���/)/ 4i' <br />w. o. roww a <br />CITY OF EVERETT--Water Dept. <br />. _, / <br />Applicatior No..��, h/'?i Date........ '?..1.� ..........................19..5:-:� <br />Install ..............................inch watr.r service uipe <br />For ....................................................................... p. . ............ <br />. .. ............ <br />.......... <br />On� %i'=......l1 ,.cli�;vs.`::'_.......:`.�-'I.. _............ Street <br />.......... . <br />i.ot .............................................................. Block No.................................... <br />Addition.......................................................................................................... <br />Remarks.......................................................................................................... <br />�uperintendent <br />LABOR AND MATER�AL USED <br />Lead Connection Complete <br />Snddle Complete <br />Service Coek <br />Servicr. Boz <br />No. tiours Labor ..............................................Cost.................................................... <br />Culin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ ......._............... <br />�� <br />....................:C........................ ........................ ,� <br />. <br />_..........X ....................._. ......................_ �� <br />Total ........................Sq. Ft. <br />— - - <br />Remar ....................................................... <br />.............. _...................................... <br />Order Recciced........ <br />\VorY. Campleted _..- <br />