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S 7.P.ieL,e4:e".io1�i���6 P � . <br />W. S. Foai 3 V� 8.�� �p <br />CITY QF EVERETT--�X�'ater Dept. <br />: <br />,., _ ,�,, <br />Application P���..l ...:...:......'.�::. Dat .............:.:_. ......�_...t:.._......_19...... � <br />-. <br />Ir.stall...._: _�' ...�.........iuch water service pipe <br />,� : ' <br />, <br />Fer....L 1_.�....:_'� =_.:' (Q'...' _.�._ ......... ........................................... <br />--1_... <br />/ /�,/,,)._,i_ ; �'� <br />O:: �-�-�-%_`:..._...r .............. -- - ..........._.........................._.. - -- Street <br />_ � � <br />�.ot,._�;..::.�...:.. �.".:1.........._.`.' ............._. Block No._.................................. <br />9ddition......._ ............................ _. _ ? <br />.. ........................... --- ............. <br />li' �.i� i !. _�./ "�� : <br />Remarks ..........._ ..........:..::..._..........:_.:.............._..-.-.;_ -:_! .............__._. <br />�^„ �,_ �� � / LABOR AND ➢IATcRIAL USED <br />Lead Connection Complete <br />3aQdlc Complete <br />................................................... <br />Service Cock <br />Scrvice Box <br />;� <br />....._� .............._._........i .._........................................_......... ..............._...... <br />No. I'.ours L;:bor._ ..............................._.._......Cost................._............................... <br />Cutin......._...._.._.?avemrnt ....................%...........---......... ..................._...Sq.Ft. <br />................_..X.... _................. ......................_ �� <br />....................X.._................._ �� <br />........................ <br />................._ X......._-..........._ �� <br />........................ <br />Total .....- .................Sq. Ft. <br />� :, <br />) � �, <br />ii �marks `;�'= ..:7.._........:..: <br />� <br />o�•a��� .-„��e��ea ............ ......._ ......... :....... <br />'.;%ork Completed ..::................... -.i...::....... <br />i <br />�...._ ...:. �:-; : _----- -� <br />_._�:.-- ....................... _..... -.... <br />Roreman <br />