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:-, <br /> � <br /> �, <br /> �. ���._ � <br /> `,�t�, ri 1., •'"- ' =.�n ,�!�:s�rasr..�k <br /> ; , <br /> � <br /> ^;�;� � <br /> � �� � �: <br /> • w. o. ron� ' . . • � —1 . <br /> CITY OF EVERETT�Water Dept. <br /> Applicatio�� Dio..':...:r��:... .... Date.........:��........�. � <br /> . .........................19.....: ' <br /> install...............................inch �vater service pipe <br /> For .......�,.::......._. ............._ �- ...�'/�n .?'r. <br /> � <br /> � .j..(...................:� .............. ............----............ <br /> On ....._`........'..1.:.::.`_.:..:...._�:.:.:_:.`..::.:.::.................................. Street <br /> Lot.............................................................. Block No......................-�---....-�-�-- <br /> Addi!ion ............:..............._...... ........ <br /> . ............................................................ <br /> Remarks .....L.�:::.:.::t..:_•:.:/.. ' . ; : <br /> :...: ....._......................................................... <br /> ............................................................................................................................ <br /> ........ ................................................................................................................... <br /> ............................................................................................................................. <br /> .... ..................... ............................................................................................ <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> _ No. j S�ze � <br /> ............__...........I........................... T ead Connection Complete <br /> .......................................�S�ddlc C�mplete <br /> .......................f t............................ ........................................................................Pipe <br /> ......... ........................................... Scrvice Cock <br /> ...................................................... Service Box <br /> No. Hours L�bor.............................................Cost..........................................:... <br /> ...... <br /> C�t in....................Faven�ent....................X................. ........................Sq.Ft. <br /> .... <br /> ..................._X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> - — ---- <br /> Re m a r ks........................................................................................... <br /> .............. ... <br /> ..................................................................................................................... <br /> .......................................................................................................................... <br /> Order Recci��ed........... ................................... <br /> ............................................... / <br /> \Vork Campleted........................................ / <br /> ...................................... .. � <br /> Foreman f <br /> ",�,_. . . _._:�._ <br />