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9. d. PHIEpL 2��� �_ ✓ <br /> N'. J. IORM'� <br /> CITY OF EVERETT--Water Dept. <br /> p�-G� / <br /> Application N�G....�.,:�ate.......W...-�-.-.....c_�...........1�" <br /> 7nsta1l...�.?-..................inch water service pipe <br /> r��• ................................................. <br /> � � <br /> ..........�..... ............................... ... <br /> On .........�..�,�....�...�........... _:�::�.:......:..��.r..-..................Street <br /> Lot._.......................................................... Block No/......._---......... .... <br /> li <br /> :?dclitian .........1 -. t.................................� . <br /> ?�.emarks ............./�C'.:.(.�..:..:�i't....-:�......._............._..................... <br /> .................. �,...........,..............<...... .............. = ...................... <br /> ..... . <br /> /� - � . <br /> ....................��. %' � r ri...�:JI?�... h..�.:� J r r_!1'..i�i!-p�7.............. <br /> � {.. (,� <br /> .... .. <br /> �`Yl.:.`'.�:4:"C:C./,�:?"?7':.9C,..�... �: <br /> �f-......�.............. :... ... .. � �c-................ <br /> �/.;� �' d .,�. � , , c'�Lt,—r._.2. <br /> � . .. ........... ......................... ................. .... .......------.. . <br /> �...... <br /> __/ `�^:_, �' � ♦!�/' _ Superin endent <br /> /` � — <br /> LABOR AND AIATERIAL II9ED <br /> No. Size <br /> — -- -- — <br /> ...........................I. . � Le.d Connection Comnlete <br /> ....................... .. <br /> ......................._.............................' �addlc Cmnpletc <br /> t <br /> ................G...it.......�.'L............ ...i t�ls...l,:.I��..:..............................................Pipe <br /> � <br /> .................._..t.........f.Z............ ScrvicrCock <br /> ......................I............................. Scrvicc Box <br /> ........................... .......................... ............................................................................................................... <br /> .. . . . . . �� . - I <br /> No. Itow•s L�bor..............................................Cosl.................................................... <br /> Cut in__....._... _...Fnvemcnt..._.._._........%........................ <br /> ........................ y..•[. <br /> �r�„ ' ;. � . . , � „ �� . . <br /> :. <br /> , ....................Y........................ ........................ <br /> . . , <br /> � �: � ,� .. �� ..._................... ........................ �� <br /> . ....................Y <br /> � �i ' X........................ ........................ �� <br /> .................... . <br /> Total ........................Sq.Ft. <br /> ----_--'-------------- ---- - <br /> r.-��n�,��,�,._...............................1,,.._;:,:,.�.:...:.:..::�.._......................................... <br /> „ <br /> . ;, <br /> , ...:. <br /> ......_......._...._.........................__:.�:.:...:....................._.. ...._............... <br /> ., <br /> . prder i'eceiced...................................... - .............. <br /> �Vort: Cnmpleted.��..-.:.i....:....•....::.....................:�.:.........--........:..... .._.. .. -;..,, s <br /> Foreman <br /> -ct_. <br />