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5'J.Pri..l..<MZ.1h_�,+�0� � r ✓ „�� .. ._ .../ �' � . . <br /> W.U.PomJ . . . ,. <br /> CITY OF EVERETT--Water Dept. <br /> ��ti7) ?� <br /> Application No....t.�._:........:..... Date................................................19..---- <br /> Install.............:..:..:...........inch water service pipe <br /> �.'�.?.:L............1: - ' <br /> For ............... �.. � ...........:t......._.:...:..::.....�.........---.............. <br /> , .----�'—'-- <br /> On •' ��..I.....'_e........�..:..:..:......... ' '.` ;' .......... Street� <br /> Lot.............................................................. Block No................--�--................ <br /> Addition ..................:....................................................................................... <br /> , , , <br /> Remarl:s �. . '-`----..!...........'::..::. <br /> .................... .........................�...'._...................... <br /> . ,� <br /> X/��� . . <br /> . . <br /> ...��..'T..4!�T"........................................_.........................---......._...---........._ <br /> .//-,.Z�,'L3..........................................................................��----_._--�-•--•�- . <br /> , , <br /> ............................................................................ ..............................:.......�--...... <br /> Superintendenl �' � <br /> i <br /> LABOR AND MATF.RIAL USED <br /> No. � Size <br /> ...................................................... <br /> � L,ad Connection Complete <br /> ...................................................... Saddlc Complete <br /> .......................ft............................ ........................................................................Pipe <br /> ...................................................... Scrvice Cock <br /> ' ...................................................... Serv�ce Box <br /> No. liours Labor.........._..................................Cost.................................................... <br /> Culin....................Pat�ement....................?C........................ ........................Sq.Ft. <br /> ....................Y........................ ........................ �� <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> —�—..---- ---'-- '--- <br /> P,emarks.... '�'.....:._.................................:......-----........................................... <br /> % <br /> ........:...................:::,....................................................... ......................... <br /> OrderReceived......................................................:...........:.:...........\._............ <br /> 1'vork Completed................:...�...:..:;..................::�.......:..............-....1��. <br /> • Foreman <br /> r <br />