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- -/� 923 . � �� ,1 �. � <br /> w. o. ronr+ a <br /> CITY OF EVERETT--Water Dept. _ <br /> _ , . ; - <br /> Application No..�..�.�:/--.:.: . Date..........:...:....:............................19...... <br /> '�, Iasta,l�l.../'.:r.:.::...............inch water service pipe <br /> ,�,ic�� �/�f-r�-t_f�J. ' <br /> For ......`../.... . Street <br /> ....� ...;....,................ . ....................................... <br /> ' �� ..... � <br /> , <br /> On . :, . . . � <br /> .....:.:.........f............__...,,....:... ... ...........................................-- <br /> � •- <br /> Lot....................:J:...��...}...._................ ...,. Block No...,................................. <br /> _/ -� <br /> Addition U.l,r..,_� f�..:_�.....:..:...._;.i.:..:.':............................ <br /> ...................................... <br /> � 1 <br /> Remarks ...........�...,�............................................................................---....... <br /> / ' <br /> .............................. <br /> �... ........... ;1.............,...................................................---...... <br /> �. , ,y �« � j,,� <br /> h..r)..::_F..::::........ ........... ................f................._.......................................... <br /> , -, <br /> ........„. <br /> .�........ _ C�". .. �2/ ._.....:....................... <br /> / ' - �..._�_ ' ' ' .' ' <br /> �--�...................... <br /> ..................... : 1..:...:...._...:.... .--:...... <br /> ................... �........_.........._._... � ��1SuPcrintendent <br /> ��-- _ <br /> LABOR ATD MATIRIAL USED <br /> No. � Sixe � ___ <br /> � Lcad Connection Completc <br /> ............................................_.......I <br /> ...................................................... Saddlc ComPlelc <br /> ........ _..........St............................ ...S..L.��..,;::.:.:................................................Pipc <br /> ......_..............�................................ Scrvice Cuck <br /> � ........................... Servicc Box <br /> ........................... <br /> No. Aow�s L�bor..............................................Cost..........................._....................... <br /> Culin....................Pavcment....................X........................ ........................Sq.Ft. <br /> . �� <br /> ....................X........................ ......._............... <br /> ��-.. . . , �� <br /> � - ....................X........................ ........................ <br /> X........................ ........................ �� <br /> ....................T o t a t <br /> ........................Sq.Ft. <br /> ----—'-- ----- <br /> l' <br /> Remarks..........:....:.:......................._........................_..................................._... <br /> ......................:................................................................................................ <br /> .......................................4.�....:................................................... <br /> .......................... <br /> OrderReceiced............................................................................................... I <br /> , . <br /> \Vork Campleted.:'..:.:_�_�......:....� ............:............ . . ..... -_ <br /> .................. .... <br /> Foreman <br />