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s. a vaao[ vH /�� �G y � �,� '� ,} �`� <br /> w. u. ronra a e-' <br /> CITY Or EVERETT-�-Wa�er Depr. <br /> -: : ,,, :; . . � /� <br /> Applicatiun No...........:.:.:5. ,..,;; Date............_ �f,.:7LL:�...........?9(�� <br /> I:�stall._........................... .inrh water service pipe <br /> For .........p............... ........./...`,..............................................................�............ <br /> �/ ��.........LC'.`.I.�::l�'Z:i{�,�L.�G,:tt../ Street <br /> On ..-:................ <br /> I,ot............................................................. Block No...................--�--�--.......... <br /> n�ldition ......_.__....._........_............. <br /> ..............................._.............._............. <br /> Rcr.iarks ............... ........._............................................_. <br /> ............................... <br /> _................._...........................................................................................--.......... <br /> _ ._ .. ............. ..........._........._.............................._.........._............................. <br /> _.................................................._..._.............._..............................__......_........ <br /> ............._ ................._..... ..-- __.............__............__ . • -.......................... <br /> Superi�tendent <br /> LAIIOR AND MATERIAL USED <br /> No.---�- Size --�_----- —. <br /> ...........................�........_._..__._..._ Le�d Cunnection Completc <br /> _........................I....._..........:...._I Snddlc Complcic <br /> .......................f l.................... ....... ..... ..................................................................Pi j�c <br /> ._.........__.... ..._............_.............. Scrvice Cock <br /> . ................................... ............... Scrvicc Box <br /> .... <br /> ........................... .....__.................� ............................................................... <br /> No. t4ow�s L�bor._........._... ............................Cost.................................._................ <br /> Culin.._._._..___..FavemenL................:..X..._................... ....................._.Sq.Ft. <br /> ........._.........X......................_ �� <br /> ......._............... <br /> _, , <br /> ..�._.,-.:,.._. . <br /> ....................R........................ .. .............. .. .. . .-� <br /> ....................X........................ ,� <br /> ..................._.-- <br /> Total _......................iq.Pt. <br /> —--------'_—. ..---- <br /> -----___ <br /> Re�n a r ks............................................................................................................. <br /> ........ .................................................................................... ............. <br /> ............. .......................................................................................................... <br /> OrderReceived ..........._......................................................._- ..................... / <br /> \Vork Complcted....................................__......................__..._....... ............� <br /> Foremnn <br />