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5 7 �ri�h��K�.�6{9y�Y 7L � ` ✓ -`, . _ . . <br /> W.Yl.Forn�) r/ <br /> CITY OF EVERETT--Water Dept. <br /> �; �-.;3 � � . <br /> Application No"::..../-r.r-...._. Date — r:. __ — <br /> / � . �..................c::...:.:.........---...19=�. '� <br /> Install........ ./.......:.............inch water service pipe <br /> For ........................................::::... <br /> � � / �......�..,,....._i......................................._--- <br /> On ......��.<.-_.y,...........l. 4"1 � ;. � i. <br /> ..... .......... . .... <br /> - <br /> . ..... ....�;........---.......... treet <br /> Lot.............................................................. Block No........_.......................--•- <br /> Addition ............ .... ..... .............................� -.................---•�-•-�-,-.............. <br /> Remarks ...........�v:.'..:G:..�!_!..�......�?�z��� <br /> � <br /> --.-.-.....-•---.._... .... <br /> ... . <br /> , ............. � <br /> �� �_ ,, , .7,,....� ...,�...... <br /> .......... ........................ <br /> /' ...,. <br /> .... .=...r..._c._t�.....1...:C ��:...�........✓.;_....+,` y. <br /> .... .........'.�.........:........................ . - <br /> � O � % .........._:......_.----- <br /> � �.�..�.. .... ..(.................... ..... .. <br /> � � �.--.�......_:... ......................... <br /> � s �.... <br /> .....�(,�-`� ....�.../..t�/�..--•'�--�r ��.r <br /> ........................ / <br /> , � . ...............•--�._........... <br /> i/.% ("�Superintendent <br /> LABOR AND MATERIAL U:iE� <br /> _ No. Size � <br /> ..........................._......................... Lead Connertion Complete <br /> ...................................................... Satidle Complete <br /> .......................ft............................ .........................Pipc <br /> ............................................... <br /> ..................................................... Service Cock <br /> ...................................................... Scrvicc ➢ox <br /> ..................................................... <br /> No. Siours Labor..................................... <br /> .........Cost.................................................... <br /> Cut in....................Pavement....................X........................ <br /> ........................Sq.Fl. <br /> ....................X........................ �. <br /> ......._............... <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> Total Sq.Ft. <br /> -- ._ ___ ............._....... <br /> Remarlcs.....!..�.....`-'F��--� — <br /> .....w.......................................................................... <br /> = , , ........ <br /> ............................................................................................... <br /> ......... <br /> � , ....................................._................ .... <br /> Order Reccived............._...,_._......_.:.....,.............................._!.:.::....�{.. <br /> ! I .. <br /> R ork Completed..,��.:....:.:`.....'.�.:..:.:........ � {:.1 <br /> .........................i.:t.f.........._........ <br /> Foreman <br />