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.: _/gGg 9 - - , � ✓ <br /> w. u. ronH a �"/,_ c/ � <br /> �ITY OF EVERETT--Water Dept. <br /> Cf. ,-r , . <br /> Agpiieation No..r..."...:..?..i�.. .:. Date...:_a,...1......��L.......................19...... <br /> Install...............................inch water service pipe <br /> � ' ' , • . i <br /> Fo[ _._:.ti.�...t.:::i..::..:......... ...._.:. .::....,.:...:tc'................... .................. <br /> .... : <br /> : � 1' i <br /> . -�. , , . <br /> On ......H'..l1:..,�.:.............C.�>:1:<..:<............._:.:...:...._.:::......... Street <br /> Lot.......................... ................................... Block No..................................... <br /> Ari�iition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> _ ____................................................................................................................... <br /> ............................................................................................................................. <br /> ...........................................................................................................�--...........--•- <br /> ........................................................................................................................ <br /> Superintendent <br /> LASOR Al�D MATERIAL USED <br /> No. ' Size I <br /> --- — <br /> ...................................................... Lcad Connection Cemplete <br /> ...................................................... Saddle Complete <br /> .............._.......ft._.... ................. ..._...................................._..._........................Pipc <br /> ...................................................... S�rv:cc Cock <br /> ........................... ..__.................... Scrvicc Box <br /> No. ftnure L�bor.............................................Cost................................................... <br /> Cutin........._._.._..davemcrit....................X........................ ........................Sq.Ft. <br /> ...................X........................ �� <br /> ..._.._............... <br /> ..................X....................... ,� <br /> ........................ <br /> • .� <br /> .................... ........_............. ........................ <br /> Total ........................Sq.Ft. <br /> �-- —-- <br /> Rema rks................................................ ............................................................ <br /> _. ..................... .............................................__. ............... ......................_......... <br /> ............................................................................................................................. <br /> UrderRecei�•ed.............................. .................. ..................................... ....... <br /> \Vorl: Campleted........................................................................................ .. <br /> Foreman <br />