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8. J. ral[ui aN/� � � � � �' <br /> W. U. lORM ] <br /> CITY OF EVERETT--Water Dept. <br /> Applicat;on Nq./,�..�.�=�F-. Date......_ '.=.r.c c' !.:5'.............19_:.'...s <br /> � .�.... <br /> 1�sta11........�._...::.......mch water service pipe <br /> For ......,/.���'� . ��_�:c.�.....«Q .............................................. <br /> •-- <br /> � -� � . ':� �.�.t Street <br /> On ...... ................�x?:« •_,-- <br /> ............................ ............. <br /> Lot................�.P.....................-•------...... Block No...-�-----........................... <br /> Addition ...............................................................................................�--........ <br /> Remarks ..�..�.Zt:c t�...O.�.a�..., _. ........./......�%f.a.�s�a—.,r-.'.......... <br /> �a <br /> .�(_:R ............................................................................."'......................""......... <br /> Q' _ <br /> . .... .. . . .......�............................................................................... <br /> �''.�..................... ° �.........................................................----......._......_ <br /> �........ � <br /> `�'..... 7■� i? ._...,;.:. .v........................................�'..�...�'-��--- �-- <br /> �` If'� � � ' ,` Superintenden <br /> �IaJ�-�95��/3V Y».�r> <br /> �IZ � ABOR AND MATERIAL USED <br /> No. ' I ' <br /> .................................................... Le��d Connection Complete <br /> ...................................................... Saiidlc Complete <br /> .......................St............................ ........................................................................Pipe <br /> ......................................._............ Service Cock <br /> ...................................................... Scrvice Dox <br /> No. Haurs Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X......._.._........... ........................Sq.Ft. <br /> ....................X........................ �, <br /> ......._............... <br /> ....................X........................ �� <br /> ......._............. . <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — —� ---- <br /> i: <br /> Remarks........................._�,. —�. . , , .. . . <br /> ............................................................................ <br /> ............................................:................................................_........................... <br /> .................................................:.......�.::..._............................................................. <br /> OrderReceived.............................................................................................. <br /> \Vork Comple;ed....'..::....:..!........:...:.....................:�.i..:.:.'..l._:.:.::.:.............. I <br /> Foreman <br />