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- - �'?�.�'� �_.��.�� � . <br /> w. o. rosn o <br /> CITY OF EVERET'I --Water Dept. <br /> Application No...��./.��'.. Date.....:�._-.�.:.�..z..................19....-- <br /> Tnstall.................... ..........inch water service pipe <br /> For ................................................................................................................... <br /> On ..........._�"fP � �lia. „t_e-C�.�r'............................... Street <br /> �- ......_........... ........ <br /> l------�-- <br /> Lot.............................................................. Block No........_............................ <br /> Addition .......................................................................................................... <br /> i?emarks .....................................................................................�----................ <br /> .........................................................................................................�---.....-�---•- <br /> .............._...............................................��/.�.../..-�c�l Lc_._._........._... <br /> ....... ................................. <br /> ................--- -...L....I.::..:........_... .......... <br /> -/Supe intendent <br /> !�'1{tC c.i_CC-t <br /> LABOR ANU MATERiAL USED� <br /> No, Size � <br /> ...... <br /> ............................................ Lead Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................f t.._......................... ........................................................................Pipe <br /> ...._................................................ Scrvice Cock <br /> ................. <br /> ..................................... Service Box <br /> No. How�s Lahor..............................................Cost.................................................... <br /> Cutin...................Pavement....................X.---................_... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ...................X........................ ........................ <br /> �� <br /> ....................X........................ �� <br /> Total ......................_Sq.Fl. <br /> --- <br /> Remarks................................................. .......................... ............................ <br /> ..................................... .................................................................................... <br /> ............................ ............ .................................... ._..........................-----�----- <br /> OrderReceived............................................................................................. <br />,. lVork Campleted......................._..................................................._..._......... <br /> Foreman <br />