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�.. J. PPIVfE�M � � l J ' ��/� �.. �/ Y <br /> W. O. IORM �1� � <br /> CITY UF EVERETT--W'ater Dept. <br /> �� <br /> Applicacion No...:...:....:....... _.. Date.......:......:........_:.....' ..............19...�. � <br /> InstalI..._�:';:'„:...............inch water se�•vice pipe <br /> , , <br /> •.tz---.....:. . ...�..zS...........................__................_... <br /> For ............ _......1..:...:.......... <br /> On ! .? ) . ..... :.............................. Street <br /> .............:.............�..........:.................:...::.... <br /> T,nt.._.......:................................................. Block Nc..........-------......_.......... <br /> !lrlc',ition ....................................................:................... .. ........................... <br /> -1 j � <br /> _.emarks (.1.2..t..:...........:.:.:.........:.:_................. ............---.................... <br /> r, <br /> .....................................................................................................................'--...... <br /> .............................................................................................................................. <br /> ...�........................................................................................................................ <br /> � { � i <br /> :..._.�.._�1....(:...:... . ................. ............................. <br /> . I.............--................................. .Superintendent <br /> l <br /> LABOR Al�D 11SATERIAL USED <br /> No. j Sizz � --- <br /> -- ----. — <br /> Lcad Connection Complete � � '�lll�� <br /> ........................._�...........................I " � . <br /> . Saddlc Complcic JL(,/, <br /> .............................j................ . <br /> ......�::.�.:...........................................................Pi e <br /> .........�a..�...ft...........;11........... �� � <br /> ^�/tl......_..... ScrvicdCock .-� .- <br /> .....................�...... . <br /> ._.....................r............................ Ser:ice Box -- <br /> No. Hours L�bor..............................................Cosl.................................................... <br /> Cutin........._...._..Paver.icnt....................X........................ .........._............Sq.Ft. <br /> Y........................ ........................ <br /> �, <br /> �.. � .� .� ... _.� ..� : ..................... <br /> . , C <br /> . ... <br /> X........................ ..................... � <br /> :. <br /> :� . ..............._...X........................ ............_......... <br /> , . . . Total ........................SQ.Ft. <br /> — ---- <br /> ---- —'—�� ------ - : <br /> --- 7; . , . ._ <br /> ;..�..._..::_...,......�:.:: _:..:....:............................ <br /> �.Y7`.]aPIr9................................... . <br /> . <br /> . . . � � .-. .. . <br /> < �'l......._............................. <br /> . ....__. .._...._. . ..........................................v............ <br /> - ..1....:..`:.:.:............................................... <br /> ................................................................ <br /> �l'!IB'i 1'.�CCICC�._......................................................"..�.."',"'..............."'..... <br /> ��'OC�: 10171�:�CiC(�.......:.:..:....:...�............................i._..�.:...�:.....::. '.............. .`.` <br /> Foreman \ <br />