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� CITY OF EVERETT--Water Dept. <br />�;,-� <br />_ .: - ...............��:..::: <br />Application No .::.:...:...: �. �.... Date...........:.;:...._.......... <br />Tnstall .............................. .inch water service pipe <br />� <br />�, ; . <br />......_::_.-.. " '• ........:....._..... <br />........................... <br />Por ...._......... G::...._...._.. <br />.,i .; (1.���:...t:;�•_C'.f�?.%.:.�r........ Street <br />On....................._f.�....................... <br />Lot.............................................................. Block No..................................... <br />Addition ................_ ................................ -- <br />....................................... <br />�_. � <br />Remarks .......i;;:::::t�_....r:_':^_<..�...:.....::y:.:��-�:.>% .:................... <br />No. <br />LeyBOR AND 1`IATERIAL USED <br />....I Lcad Connection Complete <br />.... Saddle Complete <br />. . ........................... <br />.... .................. .. . . <br />. Scrvice Cock <br />.... Scrvice Box <br />No. Hours Labor .............................. <br />Cut in.........__...._.Pavement........... <br />Superintendent <br />........................Sq. Ft. <br />........................ „ <br />........................ .� <br />......__..........h ........................ ........................ <br />Total .. ..................Sq. Ft. <br />------ ------ <br />............................ ......... <br />emar s ...................._............... <br />................................. <br />_ _ ..............:.... _.....:. _.................... ................. .:........................................ . <br />.......................:..................................... _ <br />Order Received .:.....:................................................:.:.::.: <br />�.Vork Completed ......................................................._... <br />..... .. <br />Foreman <br />