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oo�� � �� <br />.. ,.,<<� .,� _ <br />n. o. roau o <br />CITY OF EVERETT--�X'ater Dept. <br />;,-- .- , �� <br />Application No..'...:...r.......... �..-, Date ..............:..........:.....................19..:.:: <br />Install ......:. ..............._...inch water service pipe <br />For........- - ....................__......_........_.....--...- .............................................. <br />On................,:..::.....:.....�...._.......:.. `:.....��... Street <br />......................... <br />Lot.... ...._ .......... ................................. Slock No...................... __......... <br />Addition � <br />................................ . ............. ........................................................ <br />Remarks � � ' '-� � " i <br />........................................ �_. ---- .................................................... <br />. . .................:............................................ <br />,, =, <br />, <br />. <br />_.._;:..).r...........,"� ....::................................. _. <br />.f 1. <br />.........:...............,__.........................-- <br />_ <br />J � <br />. _ .......................................... ........................... `................:....: . . <br />. . .........-'---...:�.... <br />Superinicndent <br />LABOR AND MATERIAL USED , � <br />No. Size <br />--- --- <br />..........................................._......... Lead Connection Comidete <br />._..._ .............................................. Saddlc Complete <br />............ .�.........f t. ...........:............ ..I ...................................... _....... _................... <br />_.___ .............:............................. 5crvicc Cock <br />...................................................... Service Aox <br />No. Hours Labur.......__ ...................................Cost.................................................... <br />Cut in ..............._...Pavement....................X........................ <br />........................Sq. Ft. <br />.................-.X..._................... �� <br />........................ <br />....................X........................ �, <br />........................ <br />....................X........................ �, <br />........................ <br />Total ........................Sq. Ft. <br />------- �------....---- - -- - — <br />P� e tn a r Ics ..............................'..:_.....:.....:..................:............................................ <br />/ � <br />. .. ........... <br />....................................._....1......... ......:.......:.:................................................ �,' <br />Or�ier Received .............._.._...__ ___.......__........_......................--............- <br />\Vork Completcd..:_'...._:......_._.._....._._..... _. ....'..__ ._... _. ......._..__ <br />7: nr^IP.:lii <br />