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N. D. Pant 1" II-W4 <br />CITY OF EVERETT'...water Dept. <br />Dtc <br />Application No. <br />Install !, 1" finch water service pil" <br />For Sttect <br />tF <br />Lot .......... <br />Al«k No.... <br />Addition <br />............. _.............. . <br />Remar s __..._ ........ ___ <br />---- - - <br />- LABOD DIATE <br />R ANRIAL USE _ --- <br />No. <br />Size _ <br />---- <br />(y%r_'r91 Lead Connection Complete <br />'a"t lete .......... .................. Sad a Co P ......._.................._ ..-........ pipe <br />....._...... <br />1...... <br />............ <br />Service Cock <br />'.G............... <br />,rL...W.. •... Service Box ....................... <br />_... _...... <br />..................................... <br />............................._.. <br />No. Hours I.abor.......r,I.:.........................Cost..........`...... <br />........................S9. Ft. <br />Cut in...........�- Pacement.':Y...........Xl%.................... <br />......._....... ... <br />Total . Srl. Ft. <br />3crmrks ...Platrrtal.Slln Nr. - <br />D <br />Urder Received <br />\v✓ork Cot�tpleted <br />r« <br />