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w. o. ronw�} � ��O . r �. • <br /> CITY C� EVERETT--Watcr Dept. <br /> � /,f'!J <br /> Application No�. .1.�:i:..t! � Date._ .... ........ .' .�:......... ..19.�'S/ <br /> . J...... <br /> Install....._...�/_........... _.inch water service pipe <br /> t " �__� <br /> For _. ,.5.,:.:..;..t..u:..c....L.a-i�......��:.11 st..�1.c..�.lj...._�,✓. ._....._._... <br /> nn .................._.......1�/..:.�...C!..........:.:�,L::.,a-�zE�:!'..il,�.�... Street <br /> Lol............................................................. Block No............_....................... <br /> Addition .... ._..................................... ...................................._................... .. <br /> Remarks .............................. <br /> ........................................................................... <br /> � " � . . . <br /> :....................................................... ............................................................. <br /> _........................_t.�:_J:_f.....r j..E_.�f............................................................ <br /> 1 ' <br /> ' 1;:c <br /> ._................... ........................................................w_................ <br /> I K Z.... , ,- , <br /> . �.�.... .....:................._.........................;.:(..�._l.:.�.:.-.a::fc�.:.1 r.':... <br /> � ,:�� �" ' ._Superintepden� <br /> —_�-_- -. �_�-___ ( i' . �%lC.�.! .�_ <br /> LABOR AND MATERIAL SED � <br /> No. Size � <br /> ----r------- -------- <br /> ---- <br /> ...._................................................I Lcad Conncrtion Complete <br /> ._....................... ......._..........._.....�' Sadd:e Complcic <br /> ..._..........:_:..ft........................._ .__......................__......................._.................Pipc <br /> ._.................:..................._............ Scrvicc Cock <br /> .. ....................._�.......................... Servicc IIox <br /> .........................�........................... ........................... � <br /> .................................................................................... <br /> ..__...................!,......................__. .._._.............__.............. ..... <br /> . ........__................_..................................... <br /> ___....................i............_............ ...__.........._......_........................_._............................................__........ <br /> No. 2toure Lebor.......... ...._....................._......Cost..............................._................... <br /> Cutin.............._._.Fuvement_..................X........................ ............._.........Sq.Ft. <br /> . ....................X........................ �� <br /> ........................ <br /> ' ......__..........X........................ .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Totnl ........._......._....Sq.Ft. <br /> �- --'-- -- ---- <br /> ------ <br /> Remarfc...::.:...................................................... .._......................................... <br /> _.....__ ... .................................................................................................. <br /> ............................................................................................................................. <br /> OrderRecei�•ed_._...............__. ........................ .................................... I <br /> \Vork Completed._ . ............ ..___........_ _ _ .. _.. _ __....... _.. � <br /> Foreman <br />