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5 �.P�.�p//.�y/J9,g /•T . <br /> w. o Fo��v <br /> CITY OF EVERETT--Water Dept. <br /> , — . <br /> Application Ne.:..�.r�.`_.::. Date.............----..:.�:' _.....:.....19��J <br /> , .... <br /> Install......._......_.'.::'_!......,inch water service pipe <br /> For ................... <br /> ..................._--........--------...._....� ..�.......-------.........Street <br /> Ors ...--..........................._� _. 7.�� <br /> --- <br /> % <br /> . .. . . ...... . ...._.......:_.-----...... <br /> . ..V... <br /> Lot.--...................-----•---.......--- -•-..... Block No...._._...._...._. <br /> ...._ <br /> .............. <br /> Addition ...............----- <br /> .-.....................- -.............--••--•-.......-----... -.....-- <br /> Remarks .........-.--._....----.. <br /> ......_.......J..........._--...----- <br /> . r_...-----..........(.... <br /> , . , _�- � - , <br /> .-............._.<.::::.�'. ; � : ,,. ,. _, <br /> ../.!!......r.................::....""......"""""'"........1.:....._.:""""_"_"1 . <br /> i <br /> ............................................""""..."'"'........:.......�..........""'...._.._... <br /> � � ' , <br /> _......................._......................._..--�--.........---.._......--...r. :1--;.�_� <br /> ..........._.�:.._._....... <br /> Superintendent ' <br /> LABOR AND MATERIAL IISED <br /> No. I Size i <br /> — '�-- — <br /> ....................._.._I.__...................... Lcud Connrction Complete <br /> ..............._..........I.........._............... £addle Complete <br /> ..............._......ft......_.._....___..... ..................._.......--........_....................._.........Pipe <br /> .............._............................_....._. Sercice Cock <br /> ..............._.._....................._......... Service Bax <br /> ..' <br /> No. I:�,urs Labnr..._..................._................._Cost.................. <br /> ..................._............ <br /> Cut in._ _...._.....Pavemcnt..._..__.........Y..................._... _.Sq.Ft. <br /> ......._............ <br /> ....................X........................ ........................ .� <br /> ....................X......_................. �� <br /> ........................ <br /> ....................X..................._... �� <br /> ........................ <br /> Tolal ........................Sq.Ft. <br /> - —�-- ---��-----—� . <br /> i- — <br /> fiemarlcs..../;i'-r-C-(�G::a,c: . ..... .. ., � .� <br /> � � <br /> . .. ...._: � . : <br /> ". t ,1..�...............).--�-..:...... <br /> . ..._.........._._. __.----...... . ............_........._.n...... � <br /> . ._...a.:..x . , <br /> � _ - .... ............n...."".. <br /> _,i /�'i',: ! / <br /> . ........._......_..... .. ....._...._......A:::.::��:. . . - ., <br /> � ...� <br /> ..1 .tY.:....:..........L"'F.':'........ <br /> Orderlieceited... ..........................._.......................... <br /> ................................... <br /> \l'ork Completed................................................... <br /> ........................................ <br /> Foreman <br /> t <br /> � <br /> I <br /> 6I <br /> V <br />