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ws, 11 303 - A-� <br />8 <br />yj OF„EVERETT--Wat u Dept. <br />Application, No --------- --- Darr ---- --��,0---- 19-- <br />//� Install. _ _ _ _ _ _ - _ . _.inch water jervice pipe <br />For C �1 - <br />On_1.1 _ t a1 ' .... . i ,r_/Street <br />y%IltCJCp' 4t�1.��� - BlockNo.. 1 <br />Add'i-d n ..... ---•-------•-•-------------•----------- <br />Remarks -------------- ----------- <br />------ -1 <br />.................• ---- -- ------------ <br />---------- <br />--------------- <br />--------------- <br />------ 7 3---- k <br />---___-_ <br />--------------- <br />LABOR AND MATERIAL USED <br />............... Lead Connection Complete, <br />--------------- Saddle Complete <br />. _._. .'__ ...... ..1 pP t -------------- Pipe <br />��.-_- Service Coc <br />Service Box _ <br />No. Hours Labor__________________; Coe .-�- !j2 ----._-_-___-__----__------ <br />Cut in ............ Pavement.__-__f el X.FiX_..._.._ ------- _...... YSq. Ft. <br />_.__. _._.X______________ ________________ " <br />✓� X_____________ _ <br />/� •� Total .______.__ Sq. Ft. <br />Remarks------------------------------- ---------------------- <br />------------------ -------------------------------------------- <br />---------------------------------------------------------------- <br />Order Received ------------------------------------------------ <br />Work Completed ---------------------------- ---------- F. rca--sn--- <br />