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s. �. nmiei a�-� �� / <br />w. o. rowM a� �� .. _ .._.. �Ct,J�% <br />CITY OF EVERETT--WatEr Dept. <br />Application No._�� ��!°.."�..J... D te ............... . . �/`� .19>..��..- <br />. .. .. ........._.......... <br />^ --- <br />C Install.....:� ._ ��...]'.......mch yya�er servicc pipe <br />For ............. ��:.... ..:.. ���' . ----.: :�.Y..U: :v =:��� :i�:.-'.%�............... <br />On .... __ ..I.":. �?��.��=si <br />.....--�--....... ...................................... Street <br />Lat..�.-� -U•`=-._:::t'� � ' ' �_ <br />..........................•----...... Block No.....------....._................... <br />Addition..........................................�j ��J--�--.........._........................................ <br />Aemarks ......`..L}:��..—........-�-,r.,.�`y--�-:�.—.�,. <br />....' .... .....�.-_-_-....... <br />Size <br />LABOR AND MATER2'1 D3ED <br />Lead Connection Complete <br />.'�',addle Complete <br />Service Cock <br />Service Boz <br />No. Hours Labor ..............................................Cost.................................................... <br />Cut in ....................Pavemcnt....................X......._......_. <br />...... ........................Sq. Ft. <br />...................X..................._... ........................ �, <br />....................X........................ .� <br />........................ <br />....................X........................ .� <br />........................ <br />Total ........................Sq. Ft. <br />_.....�;.... �_,...i <br />].� � <br />� .i / , i �-„ '• r. . <br />........ ............................... <br />; ; <br />, _.... <br />- ..._..;.._. � ..................:..::_._:.:...:..::................... <br />..,� i., �y ; . <br />prder �eceived ..........................................................:........ <br />� � �� : <br />�Vor�: Completed....':...:..._�_ .......:.....�.............._....:.:......... <br />r .................. � <br />Foreman <br />