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. _ /G.�/.� . ,. <br />w. o. ro�r a <i .. .i� , : l <br />CITY OF EVERETT--Water Dept. <br />App]icationNo.l.lr..:t�.".... Date........_�•.:..1 .............................19.��/ <br />Install .............................. .inch water service pipe <br />For...............................1............................... ....................................... <br />-� � _ ' �....... <br />On ... : �..�...::.1....ti.:s: F..r.!..-:. �. �...._.:..�.:.. � :.ti.._..�........_ Street � <br />...... <br />Lot.............................................................. Block No..................................... <br />Addition........._ ..............................................................................._............. <br />Remarks .........._..._ - --- - - <br />....... ...................... .......... <br />................................. _ .._ <br />_ ..................... .................................................................. ............. <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. i Size I <br />..- ..................I Lead Conneclion Complete <br />..................... Saddlc ComPlete <br />..................... .................................................... <br />................. Service Cock <br />....._..___...... Scrvice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cut in ....................Pavement....................X........................ <br />........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />........._.........X ......................_ �� ' <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ........_ ..............Sq. Ft. <br />------- <br />Re m a rks ........................................................................................................... . <br />OrderReceieed_ ........................._..._....._..........................................._........' / <br />� <br />1VorY. Completed............_........__._ ....................__..... .........._......... . / <br />- Foreman / <br />