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wiebalM� IF1�5 / �� � L� � 'P.J. <br />.J. U. Form ) J ' <br />GITY OF EVERETT--Water Dept. <br />/ ,., �. y _ ._� <br />Application No..l.�.,r�--�.../ ate..,✓.l....".': 'l �� � <br />. ......< ....................19.:..-- <br />Install..._,��. � .............inch water sercice pipe <br />For..................... ...................................�.............. _ . ............. <br />%- ,. i ' ` ,' � ........................ .. <br />On..............�J....�............ �.................�::(:.....:............................... Street <br />�' �'�' �. <br />Lot................................/...1.........--�---......... Black No......,�.......... �.............-- <br />Addition.......................:....t_.......................................(._:............................... <br />Remarks .�.-----------------f ..._?-.•••---��._. '::..:'...:: (..... `�........._................... <br />�_c 1. r � <br />. ........... ..r � _.................................�...;�.�....:1 <br />....\.r_ ,. � ;1. <br />� -r=�/ � - % .= � � �.- <br />LABOR AND MATERIAL IIBED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Se�vice Box <br />, t )• <br />:...................s:.----.... <br />Superintendent <br />No. Haurs Labar ..............................................Cost.................................................... <br />Cutin ....................Pavemenl....................X........................ ........................Sq. Ft. <br />....................X................... �� <br />..... ........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />-- ------- <br />Remarks ...:.....:.: ................................ ............................................................... <br />OrderReceived ............................................................................................... <br />�Vork Completed ................................:........................................................... <br />Foreman \ <br />