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^ �� <br />5 ]. ��id+c77A i..e `i5� � ' <br />W, D. Furm D <br />CITY OF EVERETT--Water Dept. <br />Application No.../r' i<�...... Pate.........� ..................--..............19..--- <br />Ivstall___.....:._........_.._.._indi water service pipe <br />r�,� , <br />. ....._._ ....:......... _._....._........:.............. - ..........._ -...,..........._.... --.. <br />, -;� <br />o�, .._.:::...:.._.....:: , <br />....................................__.........._..._..........._:..... Street <br />Lo:................................. .......................... Block No......... � -....................-- <br />Adtiition <br />- ......_.. , ...._ - <br />/ G - ,� <br />Remarl:s ......C�Jw'4:.... _�1. � ...._......� .. <br />.. . . . . <br />�..... <br />, y�..; __ ... ........ ... ... .. . <br />/ <br />_ :.............:.. _ _ . _ ... _.... ._...................... _.........:. _...............; ........................ _....... <br />-' ...................... .....__........_......._...._......._.:..........._...............:_.......................... --• <br />0 <br />LABOR AND :YfATERIAL USED <br />No. Sizr. <br />,_ �. _. . ... ..... . _. . . �'. L�:�d Conncction Completc <br />......._..._ ..............._..._._............._.II SaddL Cmnplele <br />.... ..............._ft........................._ � ._......._................................................_..........Pipc <br />� ................. Scrvicc Cock <br />............. _ ....... _ .. .......... <br />......................................................� Scrvice IIox <br />............._..............f ......._.........._....._........................................._..._.. <br />No. Ilours Labor...___..___._........._ ...............Cost..................................._.............. <br />Cutin........__....._.P.vemu-i ....................J{........................ ........................So.Ft. <br />....................X........................ �� <br />........................ <br />_ ..................X........................ ., <br />........................ <br />..... ..............X........................ ,� <br />. ....................... <br />Total ........................Sq. Ft. <br />?3emarlts......_.... _. <br />.. .... _....... _..... _............ _ ................. <br />Order Rr.ceived ............._........... <br />i';or?: CompLfed....._ .............. <br />Foreman <br />