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� . -/ � O�"� .. _ <br /> W. O. I'OI�Y ] <br /> CITY OF EVERETT-.Water Dept. <br /> ,lpplicatinn D�o.:_t.�:..: t..l.. Date.........Ls.r.�.`....c'...:'�.........19..(.�' <br /> lnstall.............................inch water,,:tvice plpe <br /> P, � ' ,, <br /> or ..` .ye_.:t...,�....... �.�L-x-c6:.......(!� - W.4'i,.:� -:� 19d�. <br /> ....._................................ .. <br /> ...... <br /> C`n .......1�'/.....2.,...JJ...�......f'<�._`�.: .� <br /> ......:...�,.l.�1.`�.....:'.:�...... Street <br /> ':at.............................................................. Block No..................................... <br /> AddiUon .................................... <br /> .................... ............. .... <br /> ................ ...... <br /> Remarks ....J.?::r.c.�...._�l..a:c..Y,......_:�.i;:�...3....................... <br /> ........................................................................................... <br /> .............................................................................................. <br /> ...................................................................................... <br /> .... ..................................................................................... <br /> Superintendent <br /> LAAOR AND MATERIAL USRfI a <br /> _ Nu Size I � <br /> --- <br /> — <br /> ............................................. . Lend Connection Complele <br /> ..................................................... Snd,ile Complete <br /> ............r�............................ <br /> .__....................................... _............. ..........Pipe <br /> ..........................._......... ............. 5crvicc Cock <br /> ........................................... ......... Service Box <br /> ................................... <br /> ............................... <br /> Nn. Houra L:�Mr.............................................Coal................. <br /> Cutin _. ... ............................._.... <br /> ....Pavement_._............X............ ... ........................5q.Ft. <br /> ....... <br /> ..............._..X........................ �� <br /> ......._............... <br /> ...................X........................ „ <br /> ........................ <br /> .....�..............X........................ ,� <br /> g�. ,� . Total ...,Sq.Ft. <br /> .. ......._........... <br /> Remarks.................................... � <br /> ............................_._..................................._ <br /> ................................................._.... .................................. _. <br /> ......................................................................... .................. ....... <br /> Order Recetved._......... .... <br /> ......................................... .................... <br /> \Vork Complcted._........... .. <br /> .____ ....._.... .. . _ .. <br /> Foreman <br />