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. - ./�"��l� - ,_ _ , A'� . <br /> � . . W. D. lORM ] ` -^� I � / <br /> CITY OF EVERETT--Water Dept. <br /> , n ^ , <br /> APPlication No_..��:_�.;i. Date....:.-'.......�............................19.Cf <br /> Tns tall...............................inch water service pipe <br /> For ................................................................................................................... <br /> .} � -,�,.. <br /> On .....r..C�....._!.�.5..:�.;�._-.t:.::r..�:::_�t_..'... Street <br /> Lot......................................�::.......---.......... Block No.......----......................... <br /> :lddition .................................................................... .................................. <br /> Remarks ..... ..........................................................................�-•---............-�-�-- <br /> ................................................................ .........................................�--.......... � <br /> .................................................�---................................................._.................... <br /> ............................ .................................�--�--...................................................... <br /> .......................................................................................................�--�--�--....... <br /> Superint=ndent <br /> LABOR AND MATERIAL USED <br /> No. ' Size _ � <br /> -- <br /> ...................................................... Lead Connection ComPlete <br /> ...................................................... Saddle Complete <br /> .......................f t............................ ........................................................................P ip e <br /> . ............ Scrvice Cock .:.:`._'.. <br /> ..... ............. ... ..... .... .. <br /> .......................... ...... .....�......... Scrvice Box .,. <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ....................... <br /> Total ........................Sq.Ft. <br /> =-- ---' — <br /> Remarks..........................................................................................................._ <br /> ........_..........._..............................._................................_.................._............ <br /> ......................................._......................................_.. ........................................ <br /> OrderReceived......................................................................................_....... <br /> \Vork Cumpleted.................... .. ....... ..... . .... . ....... . ........ ....... <br /> . . ..-...,-�:.�.�..� Foreman <br />