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W. D. fO�M O � ,I /�� /- ,7 lJ.�% l[ � <br /> CITY OF EVERETT--Water Dept. <br /> _ � , <br /> Application No..�%1..:�.:�.... Date..............�:;.-_..�.�_�:.:'.:........19....-- <br /> Install.... ..........................inch water service pipe <br /> . F,r ..................................................................... <br /> .............................•---.............. <br /> i. ��� � . . <br /> On .................�.......�...................�..�:..::;:.J%:.�.:..,.::1�........---.....---- Street <br /> ,, ✓ <br /> Lot.............................................................. Block nu..................................--- <br /> Addition .......................................................................................................... <br /> Remarks ..................................................................................................�-�--��- <br /> � q_ <br /> ........................�.�/..N..:........................................................""""...""......... <br /> ...................................""""........................................................."""".................. <br /> ..............................................................................................�-�---.j..............---....._ <br /> � , � . <br /> .�............... � - , <br /> ............................................................----.. <_ . <br /> ....�.�.......... ..........:�. <br /> Superintenderi4 <br /> <;�L� <br /> LABOR AND MAIERIAI. DSED <br /> Na. Size <br /> ...................................................... :.ead Connection Complete <br /> ...................................................... Saddle Completc <br /> .......................ft............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Scrvice Box <br /> No. Row•s L,bor..............................................Cost.................................................... <br /> Cut in....................Pavement....................X........................ .....Sq.Ft. <br /> ................... <br /> ....................X........................ �� <br /> ......._............... <br /> r.. <br /> ....................X........................ ........................ �� <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -- --- <br /> Remarks................................................................................ ....`............ <br /> ......................................................................................................................... <br /> ............................................................................................................................�- <br /> OrderReceit•ed.................................................................................... .. <br /> \Vork Campleted.................................................................................�`..�.. <br /> Foremaw <br /> � <br />