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\ <br /> W. D. IORM ] ' � /���� e� / U � �? I�{ C� � <br /> 'CITY OF EVERETT--Water Dept. <br /> Application No...l.7�_�:�... Date.......��..:_�..:._�'.J...----.....19...... <br /> Install...............................inch water service pipe <br /> For ....../.......................... :........................................................ ........................ <br /> (�.f.'�Z n.......�,:E�..�z.�.�_-?::,�..................................... Street <br /> On ....... .... <br /> Lot.................................................•--.......... Block No..............----------............. <br /> Addition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> ................................................................................................................�--.......... <br /> ......................................�--........................................................................--�--•--••- <br /> ............ ...................................................................J.�..... �.t t.c. <br /> ........................... <br /> .........................................................................._�..'�............... .. .�. ...... <br /> /S� perinYendent <br /> �'"l��C-c.tJc[�� <br /> LABOR AND MATEf':AL USEDI <br /> ._N u. ..._S iz e.......... <br /> __.. ............... �..ead Connection Complete <br /> .. <br /> .................................................. Sad�le Complete <br /> .......................tt............................ ........................................................................Pipe <br /> ...................................................... Sen�ice Cock <br /> ...................................................... Service Box <br /> No. Haurs Labor..............................................Cast.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Fl. <br /> —'--- <br /> Re m a rks............................................................................................................. <br /> .......................................................................................................................... <br /> OrderReceived............................................................................................... <br /> \Vark Completed.......................................................................... ............ .. <br /> Foreman <br />