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w. D. fORM � a /���� � __._ .�-�. �__ �_.-_____ � . <br /> CITY OF EVERETT.-V�Iater �Dfpr. <br /> Ppplication Na....f�.�/./_. Date............`�...._� <br /> 7nstall...............................inch water servi;;e pipe `� <br /> For ............................. <br /> � `_ t................................................................................ <br /> Ori ..._�:....�:':�.. ii �2 <^ ..... <br /> ...._J'......... _... �.`:�t.�.!................................. Street <br /> ��... . ... <br /> �Lot............................................................. Block No..................................... <br /> ddition .............................................................................. <br /> ........................... <br /> emarks ................. <br /> ................................................................... <br /> ..................................................................... <br /> .............................................�--•--............... <br /> ......................................... <br /> ........................ <br /> Superintendent <br /> '------------_ <br /> LABOR pND MATEP.fAi, USED <br /> No. Size i <br /> .... ...................................... <br /> �Lead Connectinn Complete <br /> ...................................................... S�ddlc Complete <br /> .......................f t............................ <br /> ....................................................................Pipe <br /> ............................ . ............ Service Cock <br /> ............................ <br /> .......................... Service Box <br /> ........................ <br /> � ............................................................. <br /> No. Hours L�bo�..............................................Cost.................. <br /> C�t in....................Pavement....................X........................ ................................. <br /> .......................Sq.Ft. <br /> ....................X........................ <br /> ........................ �� <br /> ....................X........................ ,� <br /> ....................... <br /> ....................X........................ <br /> __ _� Tntal —�— <br /> ........................Sq.Ft. <br /> Re�narks.................................................................................. - <br /> .......................... <br /> .............................................................. <br /> .................................................................................................... <br /> Ordex Recciv�d......................._ ....... <br /> .................................................................... <br /> �Var.k Completed................................__.................._....................... <br />� .. ........... <br /> Foreman <br />