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1.�/ <br /> 9. J.PPICBE / / �� � • r ( ." 1 V <br /> w. o. roau a ���� } � <br /> CITY OF EVERETT--Water Dept. <br /> � ._� � . - ;�--: <br /> -E4pplicationNo../....L..L-L...S._. Date........._.:....1....................__.....19...._. <br /> �� Iastall............................. .inch w�er�ervice pipe <br /> For _:.�tt�t..:1�::1-��:x..�..:,�:c�c1::................ ........... <br /> �.. �_�'..7.._L:....... .1.."t.G.`.'��..:�.::l�. _.............. Street <br /> On ............ . <br /> Lot ................................................... Blo.k No........................ .......... <br /> Addition ........................... ..............................._.__............__.................... <br /> Remarks ......................................................................................................... <br /> ........................... ............................................................ ........................ <br /> .................................................................................................. ..................... <br /> SuPerintendent <br /> LADOR AND MATERIAL USED <br /> No. j Size I _ <br /> -- — <br /> .._........_..._........I................_.._..._ Lead Connection Completc <br /> ...........................I...._.._.........._..._ �nddlc Completc <br /> .......................f t............................ ........................................................................PiPe <br /> .............................._............._._.._ Service Cock <br /> ...................................................... Scrvice Box <br /> ...................................................... ................................................................................................................ <br /> \ <br /> No. Aow�s Labor.............................................Cost........................--......................... <br /> Cutin....................Pavemcat....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........-.............. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ...._.._.....__.....Sq.Ft. <br /> ----------- — <br /> Rem a r ks.......................... ................................................................................ <br /> ................................................................................. ...................................... <br /> OrderRecei�•ed............................................................................................... <br /> lVorkCampleted.................................. ..............._......................_............. .. � <br /> Foreman <br /> �Q�� 5r„r�.. �mr� ` �.,,,,, ' �Tl�' � T_"�� �" x .�"'_. .Q . �u9.�"� k.�i . <br /> .�S�h� � � �.�'� .1n1�. .:8 �1 <br /> � <br />