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w. o ronN a ���0/ ' ' ' __ %--Z .,5 � '{ <br /> CITY OF EVERETT.-\7�Iater Dept. <br /> Application No...��'.1f�`�(_. Date......�f..::� <br /> ...............................19.�_� <br /> Tns[all..:...........................inch water service pipe <br /> For .........................r. � <br /> ................................................................._.................... <br /> On l./...�. �^�' .. �; . <br /> ....... �_. _r ; <br /> ........ . ._.....:���......:::ti..�................. <br /> .................. Street <br /> Lot.......................................':.................... Block No.......................-..---........ <br /> :lddition ................................................................. <br /> ......................................... <br /> Remarks ....................................................... <br /> ................................................... <br /> ...........................................................................................•- <br /> ......... .................................................................................... <br /> ................................................................................................ <br /> ......... ...........................................................................�-�-- <br /> Superintendent <br /> LABaR AND MATERIAL USED <br /> �No. �;ze � <br /> :�����-�����-�::��::�: ��������������������_...I :.ead Connection Complete <br /> ............................... Saddle Complete <br /> .......................f t............................ <br /> ........................................................................P i P e <br /> ...................................................... Scrvice Cock <br /> .............................................. Scrvice Box <br /> ..�....�............... �.........._�...�'......I .................�........�.................................................................................... <br /> ,_. ......................................................... <br /> No. Hou.�s Labor.............................................Cost.............................. <br /> Cut in...................Pavement.....---..........X........................ ..................... <br /> ........................Sq.Ft. <br /> ...................7{........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ �� <br /> -�-- ---- Total ......Sq.Ft. <br /> .................. <br /> Rem arks............................................................... <br /> .............................................. <br /> .............................. ......................................................... <br /> ........................................................................... <br /> ........................... <br /> Order Received............................................................................. <br /> .................. <br /> \Vark Completed......._...........--.............................................._..........._....._. <br /> Foreman <br />