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- '�/6��9 _ � _ ��,, �y <br />w. o. ro�r a <br />CITY OF EVERETT--Water Dept. <br />/C �l.s"�� � ' � � � <br />Application No..... -..:.......�. Date .............."t:.....'.......................19...::/ <br />Install ...............................inch water ser��ice pipe <br />For.................................�:............................................................................... <br />5�1 c-� .�� ,._.<_; � ...z;�'_r:�.ti ......................... Street <br />O�i ....:............... .......,............................. <br />i.nt - - - ................................................ Block No.................................... <br />Addition .................... <br />Remarks .................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Cnnnection Complete <br />Saddlc Complelc <br />... ......PiPe <br />Service Cock <br />Servicc Box <br />No. Hours Labor ..............................................�ost.................................................... <br />Cutin ....................Pavement....................X........................ ......................_S9. Ft. <br />....................X........................ ,� <br />........................ <br />....................X........................ .� <br />........................ <br />....................X........................ .� <br />' Tolal .......____......._Sq.Ft. <br />._........----._.__ . <br />Order Receiced_ ................. <br />\Vork Complete�l ................. <br />.............................. ............... <br />� <br />...................................'......... <br />_........_. ___...._ ...... _._ . <br />Fureman <br />