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- - -- _.����� ' ..� _.�_ __ l m <br />w. o. ronr. � .,(_ �— 1 C Q� <br />CITY OF EVERETT--'3ilater Dept. <br />ApplicationNo..�'J,�.7��.. Date.........,.'..::i..::.�.� ................19...... <br />7astall ...............................inch water service pipe <br />For................ ..... .................................................................................... <br />On ...........................:1-`-:�....._.:`�.�:..r.�`::.!:�::::.................... Street <br />�Lot .............................................................. Block Ivo.......-�--••-----................--- <br />' Adciition .......................................................................................................... <br />Remarks.....................................................................................�--�- <br />� �� � , ................ <br />� ; t <br />.......................:_:....,�:._..........................................................--- - - -- - <br />��. ..r� ............ . ..... ... ............................... .. ..., ...............---�•---- <br />� C � l <br />, , ,��; .,. �i ............... � � .:....... .............................. ..?��::. �.r..,5..?:,t--• <br />� � Q _ � / �� � � Supermtendent <br />CJ !� � y.,�//:- <br />LABOR AND MATEFtIAL USED <br />...........................I..........................I Lead Connection Cornplete <br />...................................................... Saddle Complete <br />...................................... Scrvice Cock <br />..................................... Setvicc Box <br />No. Aours Labor ..............................................Cost.................................................... <br />Cut in ....................Pave�acnt....................X........................ <br />........................Sq. Ft. <br />....................X........................ „ <br />........................ <br />....................X........................ ��' <br />........................ <br />....................X........................ �� <br />........................ <br />i otal ........................Sq. Ft. <br />--- -- — <br />Remarks ............................................................................................................. <br />.................................................................................................................... 1...... <br />OrderReceived .........................................................................................`.. <br />\Vork Completed .........................................................................................� <br />Foreman <br />