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� �� � � � � <br /> W. O. Ip11M <br /> CITY OF EVERET':--Water Uept. <br /> Application No.:.'[i.�2. :i.:L-.. Date.................:.(.'..:.:.-:..". <br /> ...........19::..i' <br /> install...............................i��ch water service pipe <br /> � , <br /> For ....... .... .f.'...l.:r1_:�r.......�C::.�;t,:.l --�---'_' <br /> .................................................... <br /> '� � � . .. <br /> On ............ ... ...«��..,?:.... ..........................:.. ........................ Street <br /> ........ <br /> Lot.............................................................. Block No.................---................ <br /> Additiun <br /> .................................................... <br /> .......................................... <br /> . , . <br /> Remarks ..........�':?:t.��.....r.�:':c� _ . 'r= . : r „ <br /> , ...................:.....-.._......................... <br /> ...._;......-'I'.. ........................................................................................ <br /> S . ............... <br /> :.,/.1..._L_ .�!�G'.:........... ............................................................................. <br /> ....... T _.— . , <br /> �... _... ,�...��.,.4,........................ <br /> _. � ........................................................... <br /> .......................................... ....................... ................................................ <br /> Superintendcut <br /> LABOR ATD MATERIAL U9ED <br /> --- No. ' Sfze � <br /> --�—r---- . <br /> --'- -- <br /> .....................................................� I.cad Connectfon Complete <br /> ............................................._......� Snddle Complete <br /> ......................f 6........................... ...........__.........................................................Plpe <br /> ............................................ .... Scrv�ce Cock <br /> ....._.................... .......................... Scrvice Box <br /> ................................... <br /> No. Haura Labor..............................................Coet..................... <br /> .............................. <br /> _. <br /> Cut 1n...................Pavement....................X........................ ........................Sq.Fl. <br /> , <br /> . . . ............. X....... �� <br /> ...... ................. ............. <br /> �7 , � . ........ <br /> ..................x........................ „ <br /> .................. <br /> . - .; ..�� .. .................x. „ <br /> .............. ........................ <br /> s1e��� .���� Total �ga.Ft. <br /> =.n --- <br /> Remarks................................. ...................... .. <br /> ................... ................ <br /> .........................._....,..._...,..,. ...........:.....,.. <br /> .......................... <br /> Order Recefaed. . <br /> ........................................... <br /> 1Vork Completed__................... ............._..._. . <br /> _ _. . ...__... ....__. ...... . <br /> � <br /> Foremnn / <br />