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. ! r . <br /> �".D.Form J 1000 11-W.i4 <br /> CITY OF EVERETT•--Water Dept. <br /> Application No......5.�_v.L.-L.. Date......_7I�2 _....192�3..... <br /> _...... <br /> In'stAall'_... ./.�.�. �a —..... ....inch wacer service pipe <br /> For.. ...� - CXl..A��`�.. <br /> _._ _ <br /> � �� .. treet <br /> Cn........ _ � ..... S <br /> Loc........................._......_....................Block No...__....... ..................�......... ......__..... <br /> AddiNon...'__............................................_....................................._:.....__..._........ ...._..... <br /> Remarks..............__....................................................._......_.........._..............................__ _ <br /> .._.... . .---........:......_........._........----_.............................._._....__....._...._................_. <br /> ........._....................... ........................ ............_...................._.............__. .............. .........._.... <br /> ._......._....... .__.......................... _._._........__ .......__............... ... ........_ ...._...... <br /> ..:.. a_�-..:..��--a...��.�: �,�,,- <br /> . ....... s�on+� a � <br /> ----- -----.._..__ � <br /> ---___—-- --=-. .. _--__—�—__ <br /> LABOR AND 11fA'PER[AL U3ED <br /> No. Size <br /> '�---- — ------..------� - -------- <br /> �, ..........�...................�...:.a ... . Lead Connection Complete <br /> .... .__:..............�7:..1_J.:..:.Y._�:i'. SadAle--�Pkke �..,r—L.� <br /> . .. <br /> .....��1.:.......ft......3:::�.............. .._�✓._U:C�.r...�.............................PiPe <br /> ..........L............._I.....'�!v�...'....._. Service Cock <br /> ........../................�...C���7k.G._. 5ervice Box . . <br /> ...........i.............._.......-�....._... . ��.P:�...y.1-1�............._.................................................... <br /> ..........................�I....................... . .....�............:...�...�..�...................�........�..........��................�.......... ..... . <br /> -- - - - --- <br /> �� � � 34 <br /> No. Houre Lnbor.......V.....J:....................Coat.._?....-........................................__.... <br /> Cut in.........-:.............Pavement....................X......................._ ....................Sq. Ft. <br /> ....................X........................ �� <br /> .................... <br /> ....................X........................ ,� <br /> .................... <br /> ....................X....................... �, <br /> ............._.... <br /> Total ....................Sq. Ft. <br /> _—_ __ _ — <br /> _ --- —�----.__ .. <br /> --- <br /> Remarks. bf �teii:�l Slt� No..�-����}�._. ,,... _ <br /> . - _� ��_�- .t�-�. <br /> __ . _._.... _ _ . ._ __ ....._ . _ _ __--- <br /> Order ReceEved _ _ _.... .__ _. <br /> Work Completed _ ... _ __Q� ���,c.��,,,z <br /> � F ceman �J . <br /> �� <br /> -p <br />