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5 j.pnebe�N7A6.�5 / / g / �' ' - <br />W. D. Form ] <br />CITY OF EVERETT--Water Dept. <br />/ ,. <br />Application N��l.l�.:..Y..�. Date......� �.:':...._� �::..........19��.1 <br />• .� , <br />, , <br />Inst (ll�'�!.":�....... .....mch water service pipe <br />. �� �-tw..,..,.�,- <br />For ....... .......U..! ..... . .............._ .C..._Fz..,-�• ...... <br />. ... <br />�� i' �%� � �� L�t,� ._ ................'Street <br />On ............................................................. .. .. <br />Lot.............................................................. Bluck �id.....----....................----••- <br />Addition <br />.......................................................................................................... <br />Remarks...--- ..........................----- - <br />No. I <br />'� <br />, � . <br />.d...A..F � ' ....... ^ . .. ...................... <br />....................... ..�....�:f.....w:.. <br />�'/I . � � _ �� [:l:!.,y"t.'�.. <br />�- . <br />..................................... .....�..... ..__............... .. ..........."'.. <br />i'... <br />i�rl�(,, � Superintendent <br />�"' <br />LABOR AND DiATERIAL U9ED <br />....................I Le:id Connection Complete <br />......... ......._� Sad91e Completc <br />.......... ........I ....... ............................................ <br />................... 8crvice Cock <br />................... Scrvicc IIax <br />No. liours I.abor ..........................._._..............Cost.................................................... <br />Cutin ....................Paveinent....................X........................ ........................Sq. Fl. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................Y........................ ........................ �� <br />Total........................Sq. Ft. <br />- ------ � — — <br />al �'...... �; -' • : <br />, <br />Remarks. .... t.� ....��.:.,.::f::..` ....:..............._....................................... <br />..................... .................................................................................................. <br />........................................................................................... ..........'LtN �.......-- <br />Order Received ..................................�..............._{:..u`�. .. <br />..................... <br />�Corlc Cmnplet�d�.:��...�'�J. �..........::!..u� ' <br />. ......................... ............... <br />Foreman/ <br />