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'9. �: PRIV�L�' � � � . <br /> W. D. �OqM <br /> CITY OF EVERETT--V�Jater �`ept. <br /> ���� � , � <br /> Application No............... .....--�Date...-----i:..:_:....--..:.�-'.'...........19:._.. <br /> /� Install.....:::..::::':..............inch water service pipe <br /> . ;' ' j.�.. �;, .. ..-/,� • <br /> For .....;....:�'..:c..::::......_-�---...--°�-f-----.�...._......_/'{�........�..................------ <br /> On ...............•Z/�....-�------Z.c1.r.r..�::�!".l-=-:_.::�.._c........ Street <br /> � <,; ,., , <br /> Lot.........................---.......:: ::......---..._..... Block No..................:-���----.......... <br /> Addition .......r.�—.............-..........�;_.---�--...._.......................................--....._ <br /> i,.., ,. , , . r ' . �! :�, „ ,. .r .-. <br /> r.emarks ....�/..c:.:: (" ,�'�_ _. <br /> ..................�......---�--....._----....... _:.....:..:....,.----••--....... <br /> . � <br /> �,,,,.:�..............................-�---,-.............�....._...r--......... , ...._.------------------- <br /> .., J - — ' <br /> �,, .. , ��_- ..::�.:...:....-`�-......................_............................. <br /> ........ <br /> , . .. .... �... <br /> s� . <br /> � Y . . .�- .. .. .. ........................-----..:.:.....:..----•-,.....,�---......---------- <br /> � . ��.:...... ,�_� '_;'; � , � <br /> n,U . .p.} �' .�.��~�.............................::.:....:.._..............._P:...........--........ <br /> /,'%, �,- Su erintendent <br /> CJl!' .,r� j%' <br /> � � ' LABOH AND MATCRIAL D3ED <br /> No. Size _ <br /> ...................................................... Lead Connection Complete <br /> ..................:................................... �addle Complete <br /> .......................ft............................ ......_.................................................................Pipe <br /> .................................................... Scrvice Cock � <br /> .................._.................._.._,......... Scrvice Box <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X......._............... ........................Sq.Ft. <br /> _� :� G-, , -..................x..........._........... ......._............... „ <br /> ;;71" <br /> ,, ��. ........._......x........................ ........................ „ <br /> x........................ „ <br /> .................... ........................ <br /> .�/ �-�i,?,M...;c�� Total ........................Sq.Ft. <br /> ---------- <br /> Remarks...........................................................................................� .............. <br /> ........ ............................................................................................................... <br /> .............................................................�---.............................................-•-�---- <br /> OrderP.eceived............. ..................................._........ ............................... <br /> \�-ork Campleted....................:..............................._........:.........:._:............ <br /> F'oreman <br />