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i� <br /> � � �oC� G'f 9, /� -, <br /> W. O. IONM �( �� <br /> CITY OF EVERETT--Water Dept. , <br /> � t� c��{ _ _ � . <br /> �,�=�=L � •, -: , <br /> Application No........._!....�. .... Daje.....!...:...:...../..................... 9..... <br /> < <br /> � � , Instal .....-/...'�................inch water service pipe <br /> ,, .�taJ!'. � � � i� ' ., � � . � <br /> FoC ................._:�.��Tr..7.::::.....t:.:.......:.....:........._..,.............._............................ <br /> .�� / ' . <br /> On ^ � ' ...�: '..:.�:?.. - Street <br /> Lot.............................................r................ Block No.................-------............. <br /> Addition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> ........................................................................................................................... <br /> .c.::....................................................................................................................... <br /> !'�_�'�..... . .............._...._...................................._ � A::......<.:............. <br /> ....._ ... <br /> ,. , <br /> ....... <br /> . �., — , i )- � . , <br /> � :�: .. ��._...... -._.................................s:. ...,^, ....115:..:.....:.:.._ ' <br /> . � ..,......../�. " <br /> �; <br /> �Su erintendent <br /> '�t; x,-- <br /> � . LABOR AND MATERiAL USED <br /> No. ' Size I <br /> — - ^ <br /> ......................................................I Le.:d Connection Complete <br /> ..............................._..................... Saddle Cnmplete <br /> .......................ft............................ ........................................................................Pipc <br /> ...................................................... Service Co�k <br /> ...................................................... Ser.ice Box <br /> No. I-Iow�s L�bor..............................................Cost.................................................... <br /> Cutin....................Pavemenl....................X........................ ........................Sq.Ft. <br /> � �� <br /> ., ,- .................... ........................ ......_............... <br /> . . ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — -----'-- ---'— - - <br /> Rema rks..._l L........:....:...........................................____.................................. <br /> ....................................................................:..................................................... <br /> .....................:............:.....:................................................................................. <br /> OrderReceived................................................ .............................................. i <br /> \Vnrk Completed..::...................:...:.....:........... .........:.........:.....................__ / <br /> Foreman <br /> ti _ <br />