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- - /�.SC? - - <br />W.D.IOIIM] !! . �� /L�� S <br />CITY OF EVERETT--Water Dept. <br />,, , , <br />Application No_'.�:..''.'.._-'.—.:. Pate........`.;.'..: / <br />.............................191:. _, <br />Install......._ ......... ............inch water service pipe <br />For.............................. �............................................ <br />_ , . ..................................... <br />._ . <br />On ..:_°'..�• �!l / �.e�..-�.::]:�..........h.�a.: z..+�.��:.......... Street <br />................... . <br />Lot............................................................. Bloc}: No..................................... <br />Ac{dition ...................... ............. <br />................................................. <br />.................... <br />Remarks ..............------ <br />............................................ <br />............ ................................................................................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lcad Connection Complele <br />Saddle Complele <br />.��..... Scrvicc Cock <br />....... Servicc Hox <br />No. Hours Labor ..............................................Cost.................................................... <br />Cut in ....................Favement.....---............X........................ <br />..............--.......Sq. Ft. <br />....................X........................ .� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />__'_________.. __. Tolal ....Sq.Ft <br />_ ................... <br />Remarks ........................... - <br />............................................................ - <br />......... . .... <br />Ordr.r Rcceiced .......................... <br />\Vork Complcted ...................... <br />� <br />............................ <br />_........._.. _ / <br />Foreman <br />