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e. J� �nicn��l��� � � � 1. L� <br /> W. O.�rORM � • • ��p�� <br /> CITY OF EVERETT--Water Dept. <br /> Application No..................�-... Date ............�,�?:.4.................... - <br /> /0.335 � � .19.�::� <br /> Install...........'���f..........mch water service pipe <br /> For ..................j...y� ............... .. ... ..... . ............ <br /> On ................�/....Q...� � ��..........................._... Street <br /> ..............................................................._...... <br /> Lot.............................�--------..............._....... Block No..---................................ <br /> Adclition ..............................................................................:.................. <br /> Remarks }x-��tiu-r:L' -. F��?-E!r:5..-�..�..J...�:;`:� <br /> ..............t....... ..---.. <br /> . .. .. <br /> .. ......... <br /> ......................................_ .:4 ._.l.A.<::�G�c.�.�.v.S'Jq ._C:. . .. . .......... <br /> ...................................�:�n_.e;ttl..N..�a....'��,� <br /> ............................._."'............................"'........................../-) � <br /> ..............................................................................._......_..K/.....Y..I... ..._�:as+y/ � <br /> Superintend <br /> -- ----�� <br /> LAROR ANll 11iATERIAL USED <br /> No. Size � <br /> ......................................................I Lead Connection Complete <br /> ..........................................._......._• Saddle Completc <br /> .......................fl...............:...'L....... ...........:....::...1..:............................................Pipe <br /> ...................................................... Service Cack <br /> ...................................................... Ser�ice Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Favemcnt....................X......._............... ........................Sq.Ft. <br /> ....................X........................ �. <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> Total ..............._.......Sq.Ft. <br /> ---'------ <br /> Remarks............................................................................................................. <br /> .......................................................................................................................... <br /> .............................................................................................................................. <br /> Orde!• Pecciced.......................................................................................... ..... <br /> \VorF_ Completed......................:..:....:............................................................. � <br /> Foreman <br />