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W D. For t <br />r <br />le <br />s• �. �rt�e <br />i .4.6 <br />�i <br />CITY OF EVERETT--Water Dept, <br />Application No. 9__ Date. `% _-3 O <br />/ ----- / 10Q <br />stall inch water service pipe <br />For ------ �- � � y„� <br />�------ - _. _ Street <br />Addition Lot %-/. ..Block No... 3-a <br />Remarks (� <br />1/ --- ---- <br /><= . ------------ <br />LABOR AND MATERIAL USED <br />----------- -------- Lead Connection Complete -- <br />________ Sad eComplcte <br />--'- - ---- - _ Se[vice oclC <br />----"/-'---'-- C -L ' Service Box { <br />SL 2. . <br />----------' :::: =�4'-�---, tea,----�_�-------------' <br />------- ----- - - <br />No. Hours Labor .............. ....��-:.Cost. <br />�.�.�..._ _ <br />Cur in ------------ pavement __... _..._.X.__.__...._.. .... --._. <br />nx-------------- <br />tX-----x ----- ------------- - <br />---- Total - - ----Sn. Pt. <br />Remarks -- <br />Order Received_________________ <br />Work Completed -----_----•_ <br />-------------------- <br />