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. . ���� Z , . , <br /> W. Ur�fORf '1' � <br /> CITY C�� EVERETT--Water Dept. <br /> Applicntion No.::�...: '..... .... ...: Date .. ..._......,�... ...1....................19...... <br /> i � Install�:.._ ____...,:.........incli water service pipe <br /> For � <br /> • . - :' i <br /> _.::�...._�_ . , <br /> ,� .. ...........✓..r.:........:..i....................................__.............._... <br /> On ...... ..........�.:....:......:........_._.....�......:........_. ............................. Street <br /> Lot __... ........................._... ......__............ Block No.................................... <br /> Aldition .__........._._..... <br /> ................................ .....__.._................................... <br /> . j - <br /> Rcmnrks ..._......_.................'... .L...i........:_.....:...:...:..................................... <br /> _........ ....................................................................._....................... <br /> _......._..................._......... ......... ........................................................__....... . <br /> ...................................................................................................................... <br /> _.........................................._................ .....................................................__... <br /> Superintendent <br /> � LABOR AND MATf:RIAL DSED <br /> No. i Sh.e I <br /> _ .. _ I�__. __ .__ _. _______________ __ <br /> . . . ._ ............�...... ..__.... _.. Le�W Connoci.m ('omplete <br /> � � �addlc ComPIcG_ <br /> . . _ _ _ ._. I . . .___. . . <br /> . . . .....il . ..... _ ..i . ._. . . _. . ._.__ ... ............... ..............Pipe <br /> . ._._._..............I....... _ .. _.. � Sen�icc ra:k <br /> __ .. _............. .. ...._.__. _ _....I Sercice I3ox <br /> ... . .... ...........__ I ... . ._ . . _. . ........ . . <br /> . ... .... ..... _.._.. . . . ...... . ... . . ......_... . <br /> _... . . ...... I . . ....__ ...._ . . . ....... . _ ........... . . . . ... <br /> :Vo. H.�ws Lahor _ ... . . . _ _.................. ..Coet.............._. .__ <br /> ....__..............._...... <br /> C��t in _ . [�dVC.LI•.1� ....__........X_......_........._. ...................._. ��1�.F�. <br /> . ._............a{._.._................. ......._............... �. <br /> . . . ._.......X.............._........ .................... ._ �. <br /> . _.......X...._. .____....... u <br /> ..._............__. . <br /> Total ............_.. ...Sq.Ft. <br /> --.'� .____.�_.�--�_----.. '.------'-' - <br /> _. - -- - -'-----�-- <br /> Remarks.........:.. ....... _...__......._... . . _.._ _ .. .. ..... .............._......._..... <br /> __ . ................................................................................ ...._... . <br /> .............. .................................................................................................. ` <br /> �rder Recciced ...._......__. . _ _._........ ._. ......... .......... _. ...... .. . / <br /> Wor4. Cumplrt��c! . . . . _ . .. .. . . � <br /> F,�rrraan <br />