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w o.•.w�°�_ 3 � �8 � � �� �� <br />CITY OF EVERETT--Water Dept. <br />Application No...:::..'.'..U._". v. Date............laEf..r .......:................_.19...... <br />� /� In�s(all ........................_...inch water service pipe <br />For ....�Ccr..S:S�.......1......�.L..%.�...�..-j..� ................... <br />J t <br />.......................... <br />On ..........�� <�.......5 _...r��,..�._�...� ��.�..t�.�L���. Stieet <br />Lot.............................................................. Block No..................................... <br />A�a,�E�ion <br />Remarks <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. ; Size I <br />......................................................I Lcad Connec:ion ComPlete <br />...._ ............................__..............., Saddlc Complete <br />...Pipe <br />.........._... __ ............... Sc�viceCock <br />...... ............................. Servicc Box <br />No. Rours L�bor .............................................Cost.......................---.......................... <br />Cutin..._...._._......Favement............_......X ................._.... ....................__Sq.Ft. <br />/f^ .......�........... X ....................... ........................ �� <br />i /1�-c� «/c. / — �f /�` .. .. x..........._._ ........ ......... .. ........... .. <br />..x ....................... „ <br />....................... <br />Total .._.._........_._...Sq. Ft. <br />_— '— --------- <br />--- <br />Remarks..... _ ..................................._...._........_....... .............._.._.................... <br />, ,. . ..............:......�:...�!:...._�...:;..:.:�....................... '/ <br />_ . .............._.......__........_.:.._.......... .. <br />. ............................................................................................................ ............... � <br />OrderRecciced..._ ........................................................................................ <br />R'ork Campleted ....................................................._.............._.................. <br />Foreman <br />