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_ �.39 � � . � _ - _ �--�>,�- , <br /> A J. f�R1C�4 <br /> W.�u. Ipqw 0 <br /> CITY OF EVERETT--Water Dept. <br /> / ' >'c, y-<-/ i °/ -= ' <br /> Application No...�.-..:....... Date...........-%......._......................191..— <br /> Install.........._<���:.....inch water service pipe <br /> _� � �./. < r.r- <br /> For .......... /./��.cr....... _t.�...�....:zL_...�.f�_-�..................................... <br /> On ...........:7. .,%Jri.....-���!-.':.fc:�-^-��.................... Street <br /> Lot.............................................................. Block No..........-�---...............-�--�-- <br /> Adclition .......................................................................................................... <br /> Remark� ....�,7f::r.�:'......�.ai:ur��:-.:........................................ <br /> /o , <br /> .(� <br /> ....y.- ...i.LS:UlG.-..:�.......�L:Z�:.'.4::.a0..:�.i.............................................. . . <br /> ...�.....................�Y . �................................................................................... .... <br /> r�u/ Lti <br /> ...................... I '" .... <br /> :t.f, ...�.....................................................................�........ <br /> „ , <br /> � , <br /> ........�;,...j......._........... ....................................._.::.....0.:�-:�.-�..- <br /> �b Superintendenf <br /> � �_ ' .�J"�.' �� _ <br /> __� <br /> . - . GABOS AND MATERIAL USED <br /> No. ' Sixe � � ' ' <br /> .... ............................................ :.end Connection Complete <br /> ...................................................... Saddlc Completc <br /> .............._.::...ft...:.'..:.................... ......:.:�..........:_.................................................PiPe <br /> .....................:...............:............... Scrvice Cock <br /> ........................:............................. Scrvicc Bnx <br /> ...................................................... . ........................................... y� . . ........ ..................... ... <br /> �'��.....�'7�Q.s!±.rG4�..1�.!E.'�....!.Y91..�`-L....��:�.`�.'_:..�.�..K.�... <br /> ...................................................... .. .. � <br /> ............................................... .�f 3.._w.............................................................................................. <br /> No. Fiours Labor..............................................Cost.................................................... <br /> Cutin...................Pavcment....................X....._................. ........................Sq.Ft. <br /> , , - �� <br /> , , , , . .................... ................ ..... ...................... <br /> .. <br /> ,. <br /> ,� <br /> � � � ....................7�........................ ................._..... <br /> � <br /> �. � ... _ ....................X........................ „ <br /> . :. , Total ........................Sq.Ft. <br /> — -------- <br /> Re m a r ics........_.....................:.......'::_:...................:..:................................._...... <br /> _ ;; <br /> .....................................�...../::�..�....�::::L::.:::...r.::.::..:.:.............................. <br /> ., <br /> r . , ��c <br /> ...........................................................!........:.:....................................................... � <br /> OrderReceiced.............................................................................................. <br /> \Vork Completed...<..:..�G.-.i:..::........................'--:.......:..:..:.. . . ........... <br /> Foreman <br /> �C:i. - .-.L` <br />