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S J* �,,,h�4M/0 78 7, <br />W. U. Form ) <br />CITY OF EVERETT--Water Dept. ' / , <br /><i- <br />.I;' . , . <br />Application No/...^ /......... -Date...'_!.._.'...........:..:::.��... ...19...... <br />In$tall.._ ,l .in�4 water service pipe <br />For...... ........-C.t,�,.�.P..... �................_............._:r..2__...........-.... <br />.� {.a 7 n ... :...:.._..::.:.. J-........ Street <br />On................................... .....:......:.....:....... . <br />1 ._�..... a ..................... Bloclj No. .... .................. . <br />Lot ....... <br />...... . <br />Addition .f2.T �:! ..........� '..::.:^..9 ..._......_. <br />n / <br />Remarks..... (`......................... .........11...............i:.............-......_............. <br />............................1..1..P.t...tt ... ....�t.....::.:.:.-QJ......................._....... <br />n.........................................................................................................-........... <br />.........' <br />I <br />................... <br />..................... . <br />perinlendent <br />r r' L.'LBOR AND MATERIAL USED / <br />Size -- <br />.j <br />._............ <br />......_......_.._.... ---_— <br />Lead Connection Complete <br />Saddle Complete <br />..................................................P i P c <br />Service Cock <br />Service Box <br />........ <br />No. Hours Labor ............................................. o ....54. Ft. <br />........................ .................... <br />Cut m.. ..... ............ Pavemen .................... ,. <br />....................X......... _............. ........................ <br />X........................ .. <br />.................... Total <br />Remark...../..........f............::........•.._.........._.......... .......................... <br />...... <br />................................... . ..................:...._......__.............................I.................. <br />.................. ............................................. ........................... .......... .........k.... ......... <br />.... A... �� ............/ <br />Order Received._....., :.. ..... .............. <br />......:..•.` ........ ........ a . <br />Rork Completed .............:...i.:__....., ...r....._.._..........-.::...:....Foreman <br />