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- . . � / y� �►90 <br />w. o. roww a <br />CITY OF EVERETT--Water Dept. <br />� <br />Application No,���.2�..Y..:�.... Date........�.�.�s.:�s:�::..: � '.'......19!.. � <br />�� <br />I:�stall........ =�..✓ ' '.inch water service pipe <br />� ........ � <br />- . � , <br />- _ � _ , . .... <br />- <br />Por ......._... � ��c.:_.�:�i:�5r...._l:i.:.r.c......, :........................................ <br />y,..._ <br />i /�...._�:t:.._�.�,�_.:.:�..` .::............................... Street <br />On .......�%`.. �.�........ <br />Lat..............1..�:.� .................................... Biock No..................................... <br />���-.--( i, r1..: d -.....:s2�'.<..'_:..C� .............. <br />Addilion .......� ..:.......................,.'..'.. .......... <br />�,� -�::.'..t.s.::r.-:ti ......:...................................... <br />Remarks ........�!J.L�:s :.................. , <br />' '1 <br />t , „ .._�-- <br />_...,-� ....u.o.:z..c..-........: ::`. J...c ................................................ <br />........................................................ ^ <br />� 5 Y <br />,�� G�' /-' -`^� <br />!f ..... ............................�...............---......�,, <br />. . . . ..................... <br />..... _._ ................ .. . . � aPcrinlendent� <br />�� '� •.� <br />„ D'�` _ "' <br />GABOR AND MATERIAL USED <br />x � <br />--r-- -- <br />iLcad Cnnnection Complete <br />.............. Saddlc Complete <br />......................... <br />Scrvicc Cock <br />Scrvice Box <br />........................ <br />No. Hours Labor......_ ......................................cosc....._...... <br />Cutin.._.........._...PavemenL......._..........X..........._........... <br />-'. • ................... 7......................... <br />� � .........._........X ........................ <br />Total <br />Reroa=ks............ <br />.......... <br />........_,..----- --_ <br />....... .....................�..•.-Z:]:�.t..�.::.................... <br />.............Pipc <br />........................59. Ft. <br />......._ ............... �. <br />......._ ............... �� <br />........................ �. <br />.................__. Sn. Ft. <br />.. <br />Order :�.eceived ..............._.......................................-�� <br />. <br />,. ,. y,/_ -...:...(_ ................. <br />/ �4 . <br />� .............._.:.�.....1...1............... <br />\Vork Completed..SP..�.�.....`.�-^...'....... . Foreman <br />