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• - � �/��� ._ .,? t z% - 3 � � �. � <br />w. o. ro�u a <br />CITY OF EVERETT--Water Dept. <br />Application no....C.Z..L.�%....... Date......'3.`..�_�...�:'...�.� ...............19...... <br />Tnstall .................... ......... .inch water service pipe <br />For............/...................................................................................................... <br />On ..........!t.��_�L..._�.�z:i.,:.<?.r.f_<fi.:.<�� .................. Street <br />L�t ......... ................................................... Block No..................................... <br />.9ddition .......................................................................................................... <br />Remarks.......................................................................................................... <br />LAIfUK AlVU l�lA'1CKlAL U3GU <br />Lcad Connection Complete <br />Saddle Complete <br />Servicc Cock <br />Service Box <br />No. Iiours Labor ..............................................c:ost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ......................_Sq. Ft. <br />__—___--_—_ <br />Re�na rks .... ......................................................................................................... <br />............................................................................................................................. � <br />OrderReceiced ............................................................................................... <br />\Vork Complcted ..........................................................._.............__..._.._.... � � <br />Foreman <br />