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s.'a. n4inc a 3D3 � r . <br />w. o. ro�r. a� � <br />CITY OF EVERETT--Water Dept. <br />� " , , <br />Application No. � .:.......:.... .... Date....................:......'........!.......�.19...... <br />—„ <br />Install.......r .....:................ .inch water service plpe <br />�-._ , i , , <br />For ........................................�.........................:�......:........................................ <br />On .. �._........%..`... �.:..::..... �......... � ::...... ..:.....:.......'.....:....:.:I.......... <br />LoL...._ .................._.....� ....................... Block No........................5treet <br />Additim� ..................._.................................._............_F:................................. <br />Remarks.................................................................................. - -- - <br />_....h. k.._� <br />ri'!�-:..�.. <br />.. � . <br />. �... .... .................. ... . ..... <br />'� t,,; . ,!ii.�� �;// <br />LABOR AND MATERIAL IIS6D <br />� r. � ,- , . ,i <br />� &uperintendent�� <br />...........___...I Lcud Cnnnectbn Complete <br />..�� .:............ Snddl.e Cymplete <br />................... ..,i.... �:.�!.c...................................................Plpc <br />� <br />...__,,....,,,.,. Servlce Cock <br />................... Service Box <br />No. Aoure Lsbor ..............................................Coet.................................................... <br />Culin........_._......Pavement ...................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />.___.........X ......................_ �, <br />.... ........................ <br />....................X......................_ �� <br />........................ <br />Totel ........................Sq. Fl. <br />' - .' - - -- - - - <br />-- - <br />. <br />Rema rks......_ _ .............�:._�._ �:;.<.: .....,:r.. c.:�,....,,.......................................... <br />•., . .,, <br />_......_ .............._.../.........a.............._�.z�r..�.............- :,..:................ <br />..................................................,.......................................................................... <br />OrderReceh�ed ................._...._.........._........................._...._........................ <br />� � TWork Completcd.'._..'1_�'....c�,,:... _...._ f_� ....�.-........ ._._.....__. <br />F��reman / <br />