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� - �G372 .,, � ,�� . <br /> w. P. IOIIN ] <br /> CITY OF EVERETT--Water Dept. <br /> Application No..l::-.i.'1-.... Date...........��;��:�..:'.—.....19�t-?' <br /> Tnstnll..........�..........inch water servlce pipe <br /> For ................................... . . .. . ............. <br /> . <br /> ........................................................... <br /> On ......./...�.`.'..[:...��a.l.o_.-.��.-........................................ Street <br /> Lat.............................................................. Block No..................................... <br /> Ad�fition ......................................................_................................................. <br /> � . <br /> Remarke .����u�:<a.l...........G•: �.�_..�Tfr..:;-z�:...... <br /> ...... �.:�...:?..s.!:'.................. <br /> �.. ... ..................................................................... <br /> -, <br /> .........c4tc�•�-.......--'F...�j„�:GRt.:[✓.......................................................... <br /> ......................................................................................................................... <br /> �.�1� fi <br /> ............... .............................................................: ...................:?x���444........ <br /> Su erinte5dent <br /> ��;� <br /> LABOR AND MA.TERI.iL l'HED <br /> No. Sizc <br /> ---- — — <br /> ...................................................... Lcad Connection Complete <br /> .........................._.......:...:............. Snddle Complete <br /> .......................f t....._.........:........... ........................................................................Pi pe <br /> ..............................._................... Service Cock <br /> ..................................................... Service Box <br /> ....................................:......:.......... ................................................................................................................ <br /> No. Houra Lsbor..............................................Coat................................................... <br /> Cutin�:4'..............Pavement....................X........................ ........................Sq.Ft. <br /> ' �� ....................X........................ �� <br /> ........................ <br /> � ....................X........................ .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Totol ........................Sq.Ft. <br /> Remarks.....................:..:....:...................:..:..................................................... . <br /> ............................................................::................... ....................................... <br /> ..............................:....'.....,.........::....:..........:......,........,...................................... <br /> OrderReceived....................._"-.'._�.�....:......................................................... \ <br /> \Vork Completed....................._.............................. ................. _............ _ \ <br /> Foreman ` <br />