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/,� 9�JC ;,7,�� <br />w. o. ron.n a • ., ✓ <br />' CITY OF EVERETT--V�Iater Dept. <br />Application IGo.,�,:..i. %�/:.-. Date .......... ...... / / _ <br />� ' ....:......................19..G:� <br />- i -istall/�� -`--.-.- ::: �:.... -inch water service pipe <br />For ..��..��.. /..0 � . ............. <br />. <br />/ , i <br />. .................._--.... <br />On .......Z.:..�.L.:./........... --.I..� �..x:-..._ ..:.`� ....... .................... Street <br />r <br />Lot.................._......----�----.......................... Block No........_.............._...--•-•�-- <br />Addit4on.........................._...............................................................----........... <br />Remarks.............................----..................�_._...........---.......----------•---- <br />? , <br />. .. ,. - . <br />..................._....................... �..2.�........�C...�.�_.,CU1._'.'...""_""... ..........._._ <br />............................................ _......' _..................._....................'.'.......__'_""_"_____.. <br />........................................' _.. ........................""'....... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. i Size I <br />:.cad Connection Complete <br />Saddle ComFletc <br />... ......_....__. <br />Scrvicc Cock <br />Sc^vicc Box <br />._ ...................... .............. <br />....... .................. .. ............ <br />No. 1{ours Lahor ..............................................Cost.................................................... <br />. � Cut ia.........._...._.Pavemcnt ....................X........................ ..._...................Sq.Ft. <br />� �� <br />. .............................................. ......._............... <br />......_.........._.X ......................_ �� <br />........................ <br />--.__X.__ �� <br />Total ........................Sq. Ft. <br />— ----------- -- — ---- <br />Remarks ............................................................................................................. <br />... <br />Order Recei�•ed ............................................................... <br />1Vork Completed ................................. ......... ......._ <br />............ ........ � <br />... .... . <br />Foremau <br />