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.r. o. ronMc� ` � f � � <br /> `J��> <br /> CITY OF EVERETT.-Water Dept. <br /> Application No............. .. } (�Date....._�l�`.°... i5�� <br /> - ' f �:;•n ..._.............19...... <br /> � 1�5��...............-�............inchwaterservicepipe <br /> For � . _ �'��,� <br /> ..< � .... . ..........%��.-.�_��L:����L:........... ..... <br /> � .................................. <br /> On ....... .....:f,.y.....�'r.�f..�..�....�d.�'..�`I................................... Street <br /> Lot.............................................................. Block No..................................... <br /> 2d�lition ......................................................................................................... <br /> Remarks ............................... <br /> ........................................................................... <br /> ........................................................................................... <br /> ................................................................................................... <br /> ............................................................................................. <br /> ................................................................................................... <br /> Superinter�der.t <br /> LABOR AND DiATERIAL USED <br /> _No. Size � <br /> --— <br /> -- <br /> ..................................................._. Lcad Connection Complete <br /> ....................................................... Saddle Comptete <br /> .......................f t............................ <br /> ........................................................................P i p e <br /> ..................................................... Servicc Cock <br /> ...................................................... Ser�icc Sox <br /> ...................................... <br /> . ................................................................................................................ <br /> ....................�.. ............................ <br /> ............................................................................................................... <br /> .................................... <br /> No. Hours Labor..............................................Cost................... . . <br /> .................. <br /> ........... <br /> u m....................Favettunt....................X........................ <br /> ........................Sq.Rl. <br /> ....................X........................ .� <br /> ........................ <br /> ���'<<G �i— 7s�� X....................... .................... . „ <br /> ...................X........................ <br /> — ----_- Total . ......Sq.Ft. <br /> ................. <br /> Remarks..,�.. . �.:....._........................... ................................................... <br /> , <br /> .. . .. ..'�'.:.....�-:U. ....... <br /> � ............................................................. <br /> / z - z �, ..... <br /> .................................�..... .....�'................................................................. ... <br /> � <br /> Order Recei��ed............................................... <br /> ........................_............._.... <br /> \Vork Completed........................................... <br /> ........................................... .. <br /> Foreman <br /> s. <br />