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✓ � . <br /> 5 J Priibe�M 7.16 5 . .� <br /> W o Fo�� -�/3 7 - �{ ,� - . , ; : ,�, <br /> CITY OF EVERETT--Water Dept. <br /> a ., � <br /> Application No......�!...�..J...... �Date..........:........:...:�:.._�.:.._.........19.1��: �. <br /> Jnstall......f�..................inch water service pipe <br /> _ ,. <br /> or -- - ,�- - ...............�._-......_.............._........� ---......... . . . <br /> - -...... .. <br /> o„ ...........�_�../.`j. /.l.a .r T ,r ._ , n� . Street <br /> ........................_.........................-�-........ <br /> Lot................................�--........................... Block No....--------......................... <br /> Addition ...................... <br /> . . . . . . <br /> ............. .......- -..... <br /> ..... ........._.................. <br /> Remarks .f-'�ti-t-`' `ti"'n`' <br /> _....................__...._........................-----.................._.....---�----...---- <br /> .............................................................................................. ........................... <br /> ; <br /> ...................... . ... ... :. . .. ....... . . .... . . . <br /> .... .. ...---.................. <br /> ;� � jt- <br /> .... .... <br /> ... ..... ............. ..... ....... <br /> _.. ..... ...:.::........_.. _................_ .----...._....--................ ..... -( 1 <br /> � -� ----�- -......., <br /> . <br /> _'r ^/�--.._.......................... ........................ ._...: .... � �! i/ tC,c�::i�1._ <br />� - � �Superin endent <br /> r <br /> .. _ � : � � i..r.t..� .! <br />' ` — <br /> q -� LABOR AND MATERiAL IISED <br /> No. Size <br /> ... — — ' ---- <br />. ,�-. .........._.......... .................._._..... Lcad Cnnneclion Complete <br /> �.,.�.��. ......................................_.............. Saddle Complete <br /> � .......................f l..............._........... ........................................ ...._._....._............_..PiPe <br />� � � ..........._.................._.................... £crvice Cock <br />; _. ......................................_..........._. Service Box <br />� � �� _.._..........._.................................. ...................................................._......................................................... <br />� <br /> � No. Hours I.oUor..................................._.._.....CosL_............_................................... <br /> .. Cut in....__............Pavcrnent....................X......................_ ........................Sq.FI. <br /> ........... .......X........................ �� <br /> ........................ <br /> - �� <br /> ..........__._..h_...................... .........._............ <br /> ....................X........................ �� <br /> ' Total ........................Sq.Ft. <br /> -- — — <br /> i.� � . — <br /> Remarks.��.`�........_�!r�.........:.:..`:...:. ' .. <br /> , .....""'""".............................................................................�.....L.""...........J........ ... <br />� ............... ...... t�i.�'�� / :.�1 <br /> Order P.eceived... <br /> .... . <br /> \Unrk Comple,ed � .�1...'...:1...:..... _� . ... ..... . . .. <br />; Foreman <br />