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5 1. hi�b� tM Zw619DfS ��9/O • <br />VJ. U Poem ) ' ' <br />� CITY C�F EVERETT--Water Dept. <br />/ �. <br />Application No1���1 _ Date....��.(.�:.Z~.r�._?.._.�..........19..C.��.�� <br />"nstall .............. ...............inch water service pipe <br />Fo�� l ��`7..`.._s'�1:..._��:'=� ........ <br />...-- �-�--- �-� ................... <br />— . -.. <br />/J : J <br />On .......... ..�'i..f.t...�l %�lf...� .......................................... Street <br />Lot......����.G�....�U.+.:�t..�:'�.:f..4.�.P. Block No ................................... <br />Addition...................................................................................................�------ <br />Remiirks.......-• ............................................. .............._................................. <br />No. <br />.. ..............................--............................ ............... ---�--�-------�------------------ <br />Superintendent <br />LABOB AND MATERiAL L9ED <br />Lead Connecticn Complete <br />Saddle Complete <br />Service Cock <br />Scrvice Box <br />No. Aours Labor ..............................................Cost.........................._.._......_.._....... <br />Cutin ................... pavement...................X........................ ........................Sq. Ft. <br />....................R.................. �� <br />...... ......._.._........... <br />................X....................... .� <br />............ ............ <br />• ...................X........................ � �. <br />........................ <br />' . Total ........................Sq. Ft. <br />�— _' — —_ <br />... . .. ..... ....................................'""'........................"".......................""'.... ......... <br />O:der '2eccived .............................................................................................. <br />\\%ork Completed ................................................................................. ....... <br />Forema�� <br />