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� <br />..�32-�. �- <br />w. o. .o,� � O � — ,', ,',Y <br />CITY OF EVERETT--Water Dept. <br />. <br />�� ;l.:�— Date ...................1 ` <br />Application No......_:..:.. . � . ................ ......19...:.� <br />i�stall .............._........_.....inch ��•;.er: �rvice pipe <br />For............................. ............................ . ....... ._.... . ........... . ............... <br />-, . � y� , <br />.. <br />On .. �.^_� .........::.. '^�.u:..�_:��75t: z,.;...�.:........ ... S'seet <br />� _.. „ ..... Block No ....... . .......................... <br />Lot .............................................. .......... <br />Addition <br />Remarks <br />.. ........................ <br />Superintendent <br />LABOA AND MATERIAL UBED <br />No. i Size � <br />...........................�...._..................._I Lead Connection Complete <br />...........................�...._--_........_.......� Saddle Completc <br />......................... <br />Servicc Cock <br />Service Box <br />No. How•s Labor ..............................................Cost.._................................................. <br />Cutin ....................Pavement....................X..................... ........................S4.Ft. <br />...................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />........---............ <br />Total ........................Sq. Ft. <br />--- ---- <br />Remarks... .......................................................................... ........_�................... <br />OrderRecei��ed ............................................................................................... <br />\Vork Completed ................................................__...........__............_......... <br />Foreman <br />