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_ <br /> ' � /.��28� - , . �,a <br /> w. o. ronr. � �- �� ! .Z�T <br /> Cl"I'Y QF EVERETT--Wate_ Dept. <br /> Application No....�% � a X � -.�. .�'.'.�.............19...... <br /> ........ Date........:...... <br /> I7stall...............................inch tvater service pipe <br /> For .................................................................................................................... <br /> � 2 � r • .....� ..i.c:?�'.................................. Street <br /> _ � . <br /> On � � <br /> .................................. ..: ....... <br /> Lot.............................................................. Block No.........---...................---- <br /> !lddition .................................................................................................... <br /> ..... <br /> Remarks ............................................... .........................................................• <br /> ........................................................................................................................... <br /> ........ . ................................................................................................................ <br /> .......................................................................... <br /> ..`....................................__..-- <br /> � � <br /> .................................................................._�:...........:�:�...`.'�...........---......... <br /> � Suy.erintendent <br /> ' � < <.. <br /> LAAOR AND MATERIAL USE <br /> No. Size I <br /> —— <br /> ...................................................... :.ead Connection Complete <br /> ...................................................... Saddlc Completc <br /> .......................f t............................ ........................................................................Pi{>c <br /> ...................................................... 5ervice Cock <br /> ...................................................... Service Box <br /> No. liours Labor............:.................................Cost.................................................... <br /> Cutin....................Favement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �, <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --' -- -- <br /> Re m a rks............................................................................................................. <br /> ............... ......................................... ............................................................... <br /> ..............................................................................................................._........... <br /> OrderRecei��ed............................................................................................. <br /> \Vork Completed........................................................................................... <br /> Foreman <br />