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63� � � � <br />s.:. pmcu�ww : � <br />w. o. roa:. a <br />CITY OF EVERETT--Water Dept. � <br />(���/ ^ � :,,-� <br />Application No .........::::.:.......' Da e....._�.:.':S_:..�...��?.......19...... <br />� / Install...a�%..� ............ .inchkvater service pipe <br />� _ ; a <br />, 'r . .,... . �. � . <br />For '" • c.i.._::...:.._:......: '...... _ :.....:...:..:...^._t....J............................. <br />.._...._. � <br />/ ( .. � / dC.. C..G.:1:c..t ....:..:.::.. :. � :..... Street <br />.... ..... <br />n ................... ... ... _......... - <br />' Block No........ �.,.1� .: �......-- <br />Lol............. . � ................ .... <br />�./'� <br />Addition �..,�....���F <br />.......... . . . . ......................_. ................... <br />'1c-�'_ •�-` _,.��� <br />Rema:ks .................. . - <br />.J <br />.... ...................... .............._........-----............................ <br />. � <br />„. . . . . ? _ �,% i <br />, � . .. :...... .... ..._.........:... ...:.»..2d._........ <br />.............. ..................F. ». . �.......... <br />_ fjr, ,,..,,., � .. �.-, i.------�=-----'�..��•--'`f72�.':..l.S._':: 1 <br />� <br />� <br />�r��, �,, y-, d <br />' LABOR AND HATERIAI. U3ED <br />Siz¢ � <br />................_ Lead Cennection Complete <br />„ ................ Snddlr Complete <br />................. ..................................................... <br />,., .............. Service Cock <br />...._..... Scrvice Boz <br />Pipc <br />No. Hours Labor ...............................................,.,��.................................................... <br />Culin ....................P¢venunl....................X......_. ..._....... ........................Sq. Ft. <br />...................X....................... ......._............... <br />�� <br />....................X........................ ........................ <br />,� <br />....................X....................... ........................ <br />�� <br />m�i,; _ .....................Sa. Ft. <br />_,—�- ; � . . , . <br />........�;..:......._:.._:._ �-_..._ ................. <br />J' , <br />OrderP-.eceived ..............................................._......_......... <br />\Vor}_ Cmnpleted ................_....:..:..:......:.......................... <br />