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Svt �ht7 <br />4 <br />CITY OF EVERETT--Water Dept. <br />�APPlicatio0. Da( -- 7"-�---~ IQ �•r <br />,,Instal .�.V inch water water s;rvicc pipe <br />For— ..'> .... .Q::[E�C _r:�, . ...... <br />.. (..% .,.I/..... <br />/J/f n .� � 7 <br />On ._.MQ: r/-�r.'i-i'fi!� i .. I�.. ���;.. .Street <br />Lot --•-../... a....... ock o.... <br />Addition........ ................... .. <br />�M• _ ..____ .. .... .............. <br />IJr '/ (I <br />P. <br />LABOR AND MATERIAL USP.D <br />----- <br />.___.. Lead Connection Complete <br />.... .......... .............._... Saddls�Com lets <br />3.'... it .......v » .... :.c�:��'� <br />....1_...... .�' '. Scrvl t3'td� <br />3 <br />No. Hours Labor .............. ... ....�. Cort...`%:_2'•1-. -.- _......... _.... <br />Cut in ............ Psvement ....... X ....... ... ..... Sq. Pi. <br />Remarks------------------------------------ ---------- ------ <br />................................... <br />Order Received------------------------ ---- -- <br />Work Completed _.-------•- --- --- - <br />- <br />- Pcrc.asa <br />