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i <br /> I <br /> , <br /> , <br /> 5 J RiebHMZ16191!J 2 3 9 � <br /> W D.Porm 1 <br /> CITY OF EVERETT--Water Dept. �, <br /> Application No................. .._ . . Date........._.....................................19....... � <br /> lnstall...::.:................._..iuch waler service plpe <br /> For ................................................................................................................... <br /> On ..._......_.........................._...................- ....................................... Street I <br /> Lot.......... . ............._........... ...._............... Block No................_................... <br /> Addition ....... ..... ' ......._ ......,.........:....... <br /> r '�` <br /> 7 .............................. <br /> Remarks _.�,-.....�1(/l.. .. �.�.��':.. � <br /> � <br /> ........ . . �..�.... ................ <br /> / v '. ' ' <br /> ._..__.... <br /> , _ . <br /> U -- - , • • , . . <br /> _ ._...................._..... ..._........__...............:..,�.....:....................................... <br /> � <br /> ................._.;...�............................................................................................. <br /> ................__................................:..................._�...---• <br /> ........ ., .. .. <br /> .y.... ..... <br /> ......................................................................_...� .. <br /> . ..u�l.�c-(� <br /> ntendent <br /> LABOR AND MATERIAL USFD <br /> No. i Sixc � <br /> --- �—� --------` �------ '--� ' <br /> ...........................I.................._._....I Lcad Connrction Complele <br /> ..................................................... Snddle Cumplele <br /> .......................ft............................ ....._.._......................................_....................Plpe <br /> ....!.................._................._......... Scrvice Cock � <br /> ........................... .......................... Service Box <br /> .._.�....................�.......................... ............................................................................................................... <br /> .......................... ........................... ............................................................................................................... <br /> Yo. Ilours Lnbor..............................................Coal.................................................... <br /> Culin......._..._._...Pavemenl.__...............X........................ .......................Sq.Ff <br /> ................... ........................ ........................ <br /> „ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X............ .......... �� <br /> ........................ <br /> Totnl ........................Sq.Ft. <br /> - — — 1 <br /> Remarks......................................................................................................... ... <br /> _ ._._._.._ ....... ...__ ........................................................................................ <br /> ............. ............... ............ ........... .......................................................... <br /> OrderReceived.. ................ ...._ ........................................................... <br /> R'ork Compleled....... ................. .................................................................. / <br /> For:man <br /> i <br /> � <br />