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5 � P�irbe�h 7 29 9 3 L ' . <br /> W.D.Form) <br /> CITY OF EVERETT--Water Dept. <br /> -- - � � � �� <br /> ,. <br /> Application No.._r................�. Date-----........ -...............................19....::, <br /> InstalL............:...:.::f:._......inch water service pipe <br /> For _----�-.........-................................ .,.,.............._- il <br /> ................._..... <br /> , . '..---� � <br /> On ..............................:'- `. _' Street <br /> ... ......................... <br /> Lot_-..._....................._......._.....--�----..._... Block No...._......_......_............... <br /> Addition ...............................-- .......__ <br /> ................._....................-----.....---- <br /> Remarks ........................................ <br /> ...--�-�--�..................._.................__.............. <br /> ............... •:y-.:-.............,........._ <br /> -'�.....,_.-:. .�_-;= � <br /> ... ......_............. ....................................._....................._............................_.-- <br /> - : ) : . <br /> ,_........ ........_...........__......._.....................--------..._.........:..........::............. ' <br /> Superintendent <br /> L1BOR AND MATERIAL USED <br /> No. I Size <br /> --- — <br /> .._..............._...._. Lcad Conn��^lion Complete �' <br /> --...................... �� <br /> .............._........_,..................._......I Saddle Complete <br /> .......................it........................... ........................................................................Pipe <br /> ....................._.........._................... Servicc Cock <br /> ..........................._.....................,... Servicc Box <br /> No. Hours Labor..............................................Cost.........................................'--........ <br /> Cut ia___..__._..Pavement.._...._..........X........................ <br /> ..........._...._.---Sq.Ft. <br /> ....................X........................ �� <br /> ......._.._........... <br /> ....................X......._.----.....--- �� <br /> ........................ <br /> ...... ._..........X_..............._..... �� <br /> ........................ <br /> . <br /> Tota] ........................Sq.Ft. <br /> ---- --' — <br /> r--'" � , � � � � �, > ,, ��� — <br /> Remarks.,.�.:......;_:.i:_._L.:..:::..... .......l..:..:....:.....)..�.,[.._-.. :......: <br /> ............A .. . <br /> .............. .............................................. ........................ <br /> . <br /> l--�ee'-�� L�j <br /> ............._............`� .....................................__............................................. <br /> Order Received...............'_..............:...:...:....::............._................._. . <br /> .......... <br /> l`�ork CnmpleLed --..._..........................._........__............. ......................... <br /> Forema <br />