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- i <br /> � W.D•Fonn J �mu n-ic-!� <br /> � CITY OF EVERETT--IWater Dept. <br /> Appltcation No. _..��.!�..7 D,ce.... '.!�'..�.__ 192...b.. <br /> � �r <br /> Install.,, . . Y inch wate, rervice pipe <br /> For . _ �� <br /> _ _. _ <br /> On ........ o�_��.� � .....�' -;-i--C.�.r✓7 ....Saeec <br /> _. <br /> Loc_......................__ .....................BlockNo._ __.. . <br /> Ad�jirion..............._............................ .........................._......................_.... ..._. _..... ........... <br /> Remarks..............................................................._........... ....._............_.......................... <br /> _ .._ ......._.........__...........................__......_ .. ..._....._..,.............._...............-......._.... <br /> ...__......................._... .... ........._... ......__.__..........__._......._.. ... ._....._.._.__...._...... <br /> _................_ _.__... ......................._ ........_........._ ...... ......_ _ ...._....... .............. <br /> .........�..',..,�:..... . <br /> _........_...... <br /> rl AepRJ �l"Y, <br /> ___."_._ ___._—'___—"—'_ . . ' <br /> ___ <br /> LABOA AND IHATERIAL U3ED � <br /> -- n ..�-- --� - -- — � -- <br /> __No. _I � Size - � �-� �� � <br /> ��--F . �I--- ----------- ------------ - - --- -- <br /> -���---�•����-����������� Lead Connection Complete <br /> F........�_.....�.ft.i_X..�..�?.'....... Snddle ComPlete � <br /> . / - ' ,;, <br /> . r:. ......._.. f�.�L�:..........................._.Pipe <br /> h., � _.. <br /> . _.,. <br /> ............._.... ..d'..�............. Scrcice Cock <br /> �::.......L..............i�.r.tv..H�:... Service Box <br /> 6 <br /> No. Hours Lnbur...........:.��.......................Cost.....1...._—......_........... <br /> ..................... <br /> Cutin........._�.-.:.........Ynvement............._.....\........................ ....................Sq. Ft. <br /> ....................X........................ �� <br /> _.............._.. <br /> .....................1'........................ .................... ,� <br /> �- <br /> ' ......................_..................... ............._..... �. <br /> �_—_ -- - '.___ . _ . <br /> Totul ....................Sq. Ft. <br /> � -_�— -- - ---- <br /> -- <br /> ---_ <br /> Remarks....ilt�i�`rt�l_':bi ?�, 3ff �.-.,, ..rr.e.:r —_—: <br /> ,`�, r� - y / t _. <br /> ,....�L17 `Y"..:1.1 �1.1:L.f.._�LzL._ <'�L .�J'EYz(._G��....... <br /> _.....__..__......._. ._.... ..........._.... . . _ ..._._. __ ..__._....__.._...... <br /> _.... <br /> Order Rcceived . _ _ _. ___ � <br /> i/ .."'.r' � _ _ <br /> ` .Vi�ork Completed_ . __ _ ( z �{.,_ L.�� r,2 C . <br /> � ,�� <br /> Fommm , <br />