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V7JD Fubrm4��al � � � ... . <br />CITY F EVERETT--Water Dept. <br />Applic�tion 1`0..._........_.:.:------� Datc.....-- ........:....._............_......._19.../ / <br />Install ...............::...............inch water service pipe <br />- _ ........................................::..:.....:.: _.:....- --:...:-- - - -- <br />For ......................:..... . <br />�� � ' ` ' _ Street <br />On.................(...:.._.f_:i...--... -..... -- -- ....- -...__............_ ..,-. <br />_, , i <br />Lot .......:....:....... .....s_:.iL................. - Block No.... �.....:::.:........---.... <br />Addition............_ .................................._..._........................................_....... <br />'i. , � �� <br />Remarks.._.....:...._;.........._ - ....:...........:................... -..._..-- - �- -.-....... <br />No. <br />.._c `...._! � _ . i ........._-� ......................:........---.......:...::.._.....:......... <br />J+ �"����� � � � Superi�tendent <br />//i `y % . . � . .__— <br />`/� _ <br />" �LA60R AND MATERIAL USED <br />Sizc i -- <br />-- -- <br />......................._.. I�ead Conncction Complete <br />...:;; .�.....Y. j.._�.. SaPdlc Com letef <br />,L.' i % P:°.-..t:r:::..:� ...:.........................Pipe <br />.......................... ................. . <br />:, �i <br />......::........_.;�.;... Scrvice Cock <br />n � <br />... . :.. Seiv:^e Bu� _ � . <br />C / .�at C.f /,� h Y . <br />` __. <br />F <br />il �........, i . <br />._ .f/._..._ ('-�.�._�s�. '......r'.._L;t. . .......... .... <br />....... _ ............................................. .........'..."'..............................._...................._'................................_._.... <br />I ................................................................................................................ <br />. .i � ., <br />I7o. I�Iours Labor ...................................._._�.:..Cust...._::.:?..Y................................... <br />Cutin._......_._._..Pavement ...................X........................ .........._.........--54.Ft. <br />( ....................X........................ ........................ �� <br />..; � ,. �� F . ....................X........................ ......................_ �� <br />��;� � -� „ <br />y, �i - ........__ .......x ........................ ........................ <br />Total ........................Sq. Ft. <br />— __ --__ <br />Remarks..........._ .............._.........__..........................._.............._....-- - ...... <br />... ........................................................ .................................................... <br />Order Received_ ................._........ <br />\',"ork Completed...._ ................-- <br />Foreman��� � <br />^ <br />