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C J. PRI:��2M G � ' { _ !_ ,� v:'� , <br /> w. o. roArn � - � � �� <br /> CITY OF EVERETT--Water Dept. <br /> , =, - . ,. <br /> ApplicaTion No...._��•1-'.�..1 Date�........._:._�./.�;L:.:1...i::........19:-:-:: <br /> , Install......._.::-�'L.'�1........inch water service pipe <br /> Foc �/. l� , �� rY(��_.; ;.� . , <br /> ................... .................._.....--..... .........._.. <br /> _ f..._......�.•....................... <br /> On ................r.��r:�...... ...��/-c"-=r°.l:.c:.s.:_......._.......---...... Street <br /> iOl........._'_..........""""_!�",�""_"._._:_�...._. BIOCI{ IVO..........""'........_....."""' <br /> .��t:l�.1011 � . � �'. - .......... <br /> �� i . <br /> „ <br /> ........�:..........�.• ...... ...............'"'.. <br /> "'..........L'....::.'.�_:�...............: <br /> / <br /> remarks .............----..............._............:.....................__........................_....... <br /> ' � i ' --- <br /> � <br /> u <br /> Pu�( � �955 L . � /�� 1 '� <br /> � <br /> � �,, ; � ,�� , �, � � � � � � <br /> ,.._ .. .. .... ......... ......... � <br /> �,:����, oErr� .... ....- ------ <br /> ��;ir%'l'' Superintendent� �� <br /> LABOR AND MATERIAL DSBD <br /> No. j Size � . <br /> ---�----- ------- -- <br /> ......_................._�................... I :ead Connection Complete <br /> .................................................... <br /> '>addlc Ccmple`e <br /> ._..__..............ft._---................. .. .._.....__....... ........................_...................PiPe <br /> _..............._..__..................... ..._I e arvice Cnck <br /> ..._............._....................._.,.........I S�rvicc Box <br /> No. Aaurs L�bor..............................................Cost............_.............__..................... <br /> Cut �n__._...._._. .Bavemc�t_.................X..........__...._._. .._....................Sq.Ft. <br /> � , <br /> . ......._..___... ........................ ........................ <br /> _ <br /> i{................._..... ,. <br /> .............__... <br /> .........._.� „ <br /> . ........................ <br /> Total .............._......SG.Pt. <br /> ----_-- <br /> _---_— -------� --- _ <br /> P�III81'1LS................_....................._..� ..7.LLl;....�::::...'.[:.:.......................'._......... <br /> .. .....................................................:.:..............""'"""............................................. <br /> � . <br /> C)rde_ ��eccicec......................... ..._......-----.......,................-----.................... <br /> \�inCl.-: Cotnpleted.::....:..........�........._..........._........._......_............_.............. <br /> Foreman <br />