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W.D.J0121 <br /> -CITY OF EVERETT--Water Dept. <br /> Application No. ���.`�.� e !,� !�':�._ . 1g.... <br /> ..Inch water service pipe <br /> For ... ...... .. . .. .. .. <br /> • On ..�`� ! �.-. Gr -!l.'.CfI"— ti,!!!.:.•.'r1. .�. Lw Street <br /> Lot ...... ...... ...... .... .... .. ..Block No... /... ...... . .. .. <br /> Addition .. . ... . <br /> Remorks V.. -i ��. J........(`41�.Q....�..... .... <br /> . <br /> �. .... .. ....... ...................... .. .. .. ............ <br /> �r <br /> ..!.: .. .... ...... .... . .... ...... .... .. .. <br /> 4 <br /> SuterinvnAmr. . <br /> :_ _ 1•' LABOR ANV, MATERIAL USED I <br /> ..... �.. .. <br /> .......... Lead Cuun��-tn L:owplete <br /> .. ...... ... <br /> ....... Snddl:Cumplete <br /> 1.?,... rt -------/.'_._. ....f .lo ......rvl� <br /> r <br /> Servire Cuckl <br /> 0. <br /> u4C,' n <br /> ,fn- _t�::C�.._ .... .. <br /> _. <br /> No.Hours '.nbor_........... / 9Jc <br /> Cut In............Pavrment ..._.. .. x ........ _. _ So nr. <br /> x...... .... .. <br /> x _ <br /> Total .. .. . Sq. Ft. <br /> Rcma:ks...... ...... .. . ... ..... <br /> . ............ _. . ...... .. . .. . ,. <br /> Order Received---- ------ ------ -- .. . .... <br /> t Work Completed ........ .. ... . . . <br /> - �-• �� � Irortmm <br />