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v.. o. ronw aI � � � � I `,�, (,. �..�.� <br />CITY �JF EVERETT--Water Dept. <br />. o�a �: ,��5i <br />Application Nb..'. `:'._•y-�'�- ... Date .............................................._19...... <br />I ,stall ...............................incn water service pipe <br />, n _ .. ; . <br />Ci � .i �.�..`.::.�1['.1 ::............._............................._.............. <br />FOP ................C.......:.;........ .... <br />) : _ <br />... . .. <br />On .......................+�:.:�....:.......................................... .... .............. Street <br />; ; / 9 - J % ' �.. �t�.:': �%$lock No ..................................... <br />Lot............:..::............ ... ......... <br />Adciition ......... ........ <br />...................................................................................... <br />Remarks ....................................................... <br />................................................... <br />............... _........... <br />?fa. � Size <br />............... -- -........_-....---....-- <br />Superintendent <br />LABOR AND MATERIAL USED <br />T.cad Connection Complete ,., �- . / i- <br />Saddle Cnmplete ;� � a k °� � <br />Scrvice Cock <br />Secvicc Box <br />... ... . . . . <br />No. Hours Labor ....................................... . . .........................................---.... <br />Cutin ....................Pavenicnt....................X....................... ........................Sq. Ft. <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ ,� <br />Total ........................Sq. Ft. <br />-------- <br />Rema r�s ................................................................ ............................................. <br />_.........._ ................_ ......__..........____... <br />OrderF.eceived.._ ...................._........................................................\ <br />\Vork Comple,ed ..................._........................................._........................ <br />Foreman <br />