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�7sI� -� � <br /> w. o. ro�r+ a � <br /> CITY OF EVERETT--�7Uater Dept. <br /> •� • . . .19...... <br /> Application No..::..,._�..: .:�.... Date.............:.......:......:............. . . <br /> Install.............................. .inch water service pipe <br /> r�� ........ <br /> ........................................................................................... <br /> � ,- ' � ,.' �.................. Street <br /> On .._.....................Jt.:..:./...........��'.1....:.�....1_....1:.. <br /> :.ot............. ............................................... Block No..................................... <br /> A!Icii::�n .................................. <br /> ..................................................................... <br /> Rcmarke ......_ ..... <br /> J�........ <br /> ...... ...:........11�............................................_............................... <br /> ...... ........................................ .................................................................... <br /> ........................... .......................... <br /> .. <br /> ................................................... ; <br /> i — ` <br /> : . : :f.. <br /> . . <br /> ... . . . . .. . <br /> _._..................__...................................................................SuPertntende�t <br /> .J, l <br /> LAROR AND MATF.RiAL U9ED <br /> No. ' Size � . <br /> ---- -- <br /> ' ... .................. <br /> ............ . .._..._.. Lend ConnecHon Complele <br /> .......................... .......................... <br /> . Saddle Complete <br /> .................... <br /> ...ft........................._.� ........................................._.............................PiPc <br /> ............................................ <br /> ,,,..... Service Cock <br /> ............................................. <br /> ........ Service Box <br /> No. Hours L�bor.............................................Cost................................................... <br /> . ........................59.Ft. <br /> Culm......._........._Favement_..................X......._............._ �� <br /> ...................X........................ ......._............... <br /> ....................X........................ ........................ <br /> �� <br /> . _._._........X........................ <br /> ........................ �� <br /> Total .._....................Sq.Fl. <br /> _�-t <br /> Remarks....................................................... ................................................ .. <br /> ......... ...... ................................................_................................ <br /> ........................................................................................................ . <br /> UrderReceiced_ ..................._...................._........... .................................... I <br /> \Vork Camplete _... . .. ........._. ........_. __.. . <br /> _.._ . ... .. <br /> _.......__. .. <br /> ,� � ���- � Farrman <br />