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II`J. Ppl[8��� � <br />�V. O. � L1pM ] <br />EVERETT--Water Dept. <br />No. <br />CITY OF <br />� <br />�'S��'7 . <br />. , <br />ApplicaYionNo.....`............ Date....... __..--............/._C`......?9Lt.� <br />� -i/ . <br />Install...::��f ..................mch w'ater ser��icn pipe <br />For..._.. _........_ .................................. ........... <br />............ _....._........ <br />Gn............._���.....�.... .. .. .............. Street <br />....................... <br />_ ' <br />/ <br />Lot........._�...�...r.3.._�.-............_o_.... Block No...._....1..� <br />............... <br />Addition ......_._..�� ................. <br />/ . ._.. . <br />� � .. . .... .. .... . %.. � .......... <br />� � .. . . . . ... <br />Remarks ............. ..'._Tz�L.�::7�-/:.._�,�'........�1...2�tiJ��' <br />... ... ......�'- <br />:::��:��...���:::::: r�::�«_��'�.��-._... <br />. ..._. ...... . <br />....... - 2� �r�,�.� _ ,-, <br />LABOR ARD MATERIAL IISEU <br />-....._.......I Lcad Connection Complete <br />............... Saddle Completc <br />::.:..........I .t.^...'��.. �:.' ...................................................Pipe <br />� .......... Scrvice Cock <br />.........._... Service Box <br />No. Aours Labor_ .............._.........................._Cos[....._..... <br />Cut Li ....................Pavement_..................X........................ <br />�1 , , . , x.........-- ........... <br />` _ ..............x........................ <br />x........................ <br />Total <br />Remarks .................1(a. <br />_. . _ ............................ _.i��. <br />.......................Sq. Ft. <br />... .................... „ <br />_.__ <br />.........__...........Sq. Ft. <br />Order ??eccieed ........................................................... � <br />: ......._...........1 ..:..:...: ..:...._..._......._ <br />lVork Completed_.Z..'.L..Z....::.G. � �I ; i - , , <br />. , _. <br />Forcman <br />