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W. D.'�ONM•0•���I �� �J)_.�, /� �/�� � <br /> l' <br /> CITY OF EVERETT--Water Dept. <br /> APPlication No....I.�.:.':!�/.�' Date....::�'_....�. ..............._--....19�'� <br /> Install...............................inch water service pipe <br /> For .................... ............................................................................................ <br /> .... <br /> - � <br /> On ...s:1..�......i..�:...F::�:::_s..�.t'5.::..0.......................................... Street <br /> Lot.............................................................. Block No...........-----..................... <br /> :lddition .......................................................................................................... ; <br /> Remarks ..............................................................�---....... <br /> ................................. <br /> ............................ ............................................................................................. <br /> ............................................................... .......................................................... <br /> ............................................................................................................................ <br /> ..........----......--�- <br /> ....................................................................."'.............._.........S uPerintendent <br /> � LABOS AND MATERIAL USED <br /> No. ' Size � <br /> --- <br /> ...................................................... :..ead Connection ComFlete <br /> ...................................................... Saddle Complete <br /> .......................f t........ ........................................................................Pipo <br /> ................... <br /> ,. � .. <br /> ._..................................._.............. �erJicc v•c6 <br /> ' ........ Servicc Sox <br /> ............................................. <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ........................ <br /> „ <br /> ....................X........................ ........................ <br /> �� <br /> ....................X....................... ........................ <br /> �� <br /> Tota] ........................Sv.Ft. <br /> -- <br /> Remar ................................. <br /> ............................................................................ <br /> ......................................................................................................................... <br /> . ............................................................................................................................ � <br /> OrderReceiced..............................................................._.................-- -�- <br /> �Vork Completed..... ........................ ...... .... ........ ................... <br /> . ,. Foreriar. . <br />