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�d Il � . . <br /> . , . <br /> w. o. ro�w a <br /> CITY OF EVERETT--Water Dept. <br /> _ , <br /> , / 19...... / <br /> Applicatiou �Qo(...�'.....�� ..� Da f................/....:...�..�t............ <br /> Install.......�....................inch water service pipe <br /> ' .............................. <br /> For ................. ..... ...................................... • <br /> f i " C� .•r �I r .�..c�..!....��................ Street <br /> .... <br /> On ....._. ....... ..... <br /> .l...l............__.......... _.:.. <br /> Lot ....._ __....._.............._.............. <br /> ..�.. IIlock No....................._.............. <br /> � , . . ..... ...........�..�...�......... . <br /> . ,: .............. , <br /> ..... <br /> ..., , ._.—_...................... /. <br /> ... <br /> , �Z <br /> . ..... <br /> � �.... <br /> Remarks(�....�..:..c.c:.�.(......LL�:�....�.A..�.rs.r.'c...:..............:..' <br /> ........................................... <br /> ........ ._............................................................. <br /> . : ' c i ..................... <br /> ............................... <br /> c . ........... . <br /> . ...,,..17................�o.c._.�.............�...., � ............ <br /> ......,,qF_.7:�....�.l.C....(..�fJ�..a............................... ........ ( <br /> � ' �• �/ Supe�ntendent .�i <br /> ..�. ' l��a-(�•!_F���t..���_ <br /> � <br /> LABOIt AND MATF.RIAL USED <br /> N�, Size <br /> ------ <br /> --— <br /> Lcad ����ecUon Complete <br /> ..................................................... Saddle ComPlele <br /> ................................................ <br /> .. . <br /> -5�.........tt.........�................. . .(?.n.��.a/.'.C.!..............._....................... Pe <br /> .......... .. ' <br /> .......... <br /> ........................................... Scrvice Cock <br /> _,,....._. Sen•ice Dox <br /> ......................... ........................... <br /> . ................................... <br /> ..................................... <br /> .........,. _ �,�, <br /> . .......... �/; ! � <br /> ..._.. <br /> .................No. Hours Labor..............................................Cast................................................... <br /> ..Pavemenl....................X........................ ........................Sq.Ft. <br /> Cut in............. .... ,� <br /> ....................X........................ ........................ <br /> X........................ ........................ " 1 <br /> ._......._......_ �, <br /> ....................X....................... ........................ <br /> Totel ........................Sq.Fl. <br /> - _— <br /> - �� ....................... <br /> Remarks.....,.. .............�.....�!..t..ti.�......... <br /> .........t..r.l.�:�t.,�... f I <br /> .........2._: ......./�l rc/l..................�a........�1�.:�5................................. <br /> ......................................................................................................................... <br /> OrderReceived......_............... .. .........._...... ................................................ ' <br /> � � � � . _....c.,......�......._.,.._.....r_'.�.:......_..� .. �i <br /> \Vor� Completed_.::.:_:.'.:.:..:...::..... Foreman _ I <br /> , I <br />