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ti I�`�rieb:7�i7?679fW] I c �'� •, <br /> W.'t:'.:.onnl.i� . . . <br /> � CIT F EVERETT--Water Dept. <br /> . _ ., � <br /> . - . , / -, , � ., <br /> Application No...,L.:.l.l L...-- Date...:..:..r:..�..:).d. :..�.i.;:.....-.'......19--- <br /> � „ „ <br /> I�istall.......=!/..�................ihch water service pipe <br /> �- n I_. <br /> For --....L:S..... ..... ..:.-C �-.t�rr.?,�,�.::t........._............. ..... .................... <br /> .. .... <br /> ���.�.....::.:!L�...:.:.:...:.:....:..... . . �"�,J � Street <br /> o,� ..............y... . . :, <br /> .....�.....: ......... <br /> Lot. ......................................1:................... Slock No...------............----.......... <br /> Addition .......... .. .. .rt� .................................................. <br /> .......... .................... <br /> Remarks .........(I�.__�:...:..:_i.::_.:.'--..._!�................................................. <br /> ............................................................................................................................. <br /> .......................................................... .............................................................. <br /> ................................................................ ......._..... ..�.....�................ <br /> �J..........� . <br /> � <br /> .....................................................,�.:.......,.�..:.�... , ...,.?.-..'..:.....�......... <br /> �� '� Superitttenden <br /> � �'�l .�,'� �. , i'� � ' �l <br /> LABOR ANII DiA'i'ERIAL IISED .. <br /> No. � Sizc � _ ---- <br /> --- <br /> — -- - <br /> ................_....................................� 7.cad Comiection Completc <br /> ..................................-:._..;......_. . <br /> Co:nplete <br /> .';:. ...,..:..�: _._.........................Pipc <br /> 3add c <br /> .......................ft............................ � ............................ <br /> ...........................I........................... Service Cock <br /> ............................................._....... Sc:vicc Box <br /> M1o. 7iours I.abor..........._.............._............_..Cost.................................................... <br /> Cu. in...................Pavem=ul..._..._..._....X......._--......._... ._.....................59.Ft. <br /> ...................X............ ........... ,. <br /> ....._................. <br /> .................._X...... ............. .................. .. .� <br /> ....................X........................ ........................ <br /> �� <br /> Totel ........................Sq.Fl. <br /> ----------- <br /> R-an:a_ks............ ................................_. .... ..................._..........--................... <br /> . .� C <br /> ... <br /> �.. .,..�/L6........_:................. ...... .................................... <br /> _. .....:......i.'s..:-.oF.-.�..........._... ... ............................................ _..... <br /> OrderReceived...............................................................t............................. <br /> �'�or1; Comgleted.......1�.�LEf�..`��.i'...__..........%..._.�.........:.f................... <br /> • � Foremait � <br /> s' <br />