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_ 4 � 7 � `�� �� 1�..� <br /> w, o. ranv. -/ / � / ` � �� / <br /> C1TY OF EVERETT--Water Dept. <br /> ,,, .. <br /> /�S"/ ' ,,3 i rssz <br /> Application No.. ......:.:........ .... Date................................................19...... <br /> 7nsta1l..... . ......... inch water service pipe <br /> ForG`'�.�,jiC:�C�i'1......_ �.C�t�-C`::1.�::4�.:L::'.._.... _....... <br /> .. <br /> ... .............. . <br /> �- �J�Y�CiL.:�.:�=r.t'�!�-- =t reat <br /> On ..........�0_<?.1.1......5'.�..:!�!Y'.-........._. .. .. <br /> Lot.............................................................. Block No..........-�-----................-•-- <br /> Adclition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> ..........................................................................................................................�-- <br /> ..........................................................................................................................��- <br /> ............................................................................................................................ <br /> _....._....................................._......................._........._..................------.....------ <br /> Superintendent <br /> LABOR AND 1N.1TF.RIAL USED <br /> Na � Si.c I <br /> — --- � <br /> i------ <br /> _......_.... ................................__..I Lcad Connection Complete <br /> ..._................................._.............. Saddle Complete <br /> .......................f t............................ ........................................................................Pipe <br /> ........._.._......................... ....__..... Scrvicc Cuck <br /> ...................................................... Scr�ice Box <br /> No. Hours L�bor..............................................Cost................................................... <br /> (:ut in....................Favemenl....................X........................ ........................Sq.Ft. <br /> ....................X................. �� <br /> ....... ........................ <br /> ....................Y........................ ........................ �. <br /> ....................X........................ �� <br /> ........................ <br /> Total ..................._..Sq.Ft. <br /> - ----'------- — <br /> Re m a r F s....................................................... ........... ............................... ........ <br /> 0:1cr Recei��ed..............._..............................'_.............._.'...._.... .........-/ <br /> \Vor4: Completed................................................................._......................... <br /> Fon man <br />