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LdMI[M �1•� ��� ' - .�_ ''� <br /> �«. n. ror•� . \:� .J- <br /> I Y OF EVERETT--Water Dept. <br /> Appllcation No....I I'��v„pat C�, � '�1 � <br /> ..--• • .-6t..:.L............................i8...... <br /> ... <br /> lnstall� -��.. .�:........inch water servlce pipe <br /> ... , <br /> For :�...c::..:...:..^t.:.'� �' 4..."�--�•J-1� , <br /> � J.......... .......�..�.. . .�.!::.w?�./F ......................... <br /> On ................�..:..'.1...�I.........5....:::_:..:..�..�:�.r....e.-[.ri.. ..._... St[C¢� <br /> . .... <br /> Lot........y.-...:5..':... .... Block No...�� !J <br /> .................... . <br /> ...................r <br /> Addttion .....<r...�C ['..:i.�.t..!:....'..�.�:.�....._-...��. <br /> ................ ....... _.t.:::.-:....Ld. � <br /> Remarks ................. .. ............_............. <br /> ._......... . ........_........ <br /> ` � -�- e� s— .._/.1._........_....._ <br /> ................ ..............................1.:.Sr„�....:._.'t...:.t....x.as.�...Q:�(..,1�'L:..G.f.:U <br /> r <br /> ....../..\.��.:...�f.-_'.f.�....1.J..................... �� � <br /> , <br /> ..../�..A..��. .. .�L� . . . ..v. <br /> ... <br /> .............. . .......................I.. / . / <br /> ................. ...._............... ...�A^...... <br /> � pl.. <br /> ' .�......... .. ...� <br /> l) � � 'li ,� ,� .'j � ... <br /> �.�1�.. . .......... �� n�t..d....................................._1..... ��..A.... L <br /> ��.. � �: <br /> �� � � Super*hten¢ nt <br /> � � <br /> LABOR AND MATENIAL OBED —� <br /> No."�'_ Size � <br /> ••�• -��4�-�-��• -�������••••..-.......I Lcad ConnecUon Complete <br /> .................:... .,,..,.::..............I EnddleComplete <br /> .................._.. ._......................... . .....................Plpe <br /> ................................................. <br /> .................................................... S��rvlce Cock <br /> ......................................._...,..... ... Servlce IIox � <br /> .................... <br /> No. Houra Lsbor..............................................Coet..........................._. <br /> ...................... <br /> Cutla..........__.....Pevemenl_..................X......._......... ........................3q.Ft. <br /> .... <br /> ................._X........................ .� <br /> ......._............... <br /> ....................R........................ .� <br /> ........................ <br /> ....................X........................ ........................ „ <br /> ToA�I .......................Sq.Fl. <br /> -- <br /> ...� / . " �J"Y.'(s <br /> Remarks.... � -- ^ ,. . . . <br /> .................................................�,l.....,.....r <br /> .. . . ✓-..._.........a..:.......... <br /> .......................................................................................................................... <br /> ........................................................................................................................._... <br /> OrderReceived......................................................... ..................................... <br /> \Vork Campleled.....................................................__.................. ... 1 <br /> . ........... <br /> Foremnn <br />