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w. o. ronw �� 273 7 ' /� �� <br />CITY OF EVERETT--Water Dept. <br />Application No.l:� �l...J.. .... Date...��(:1 a . �i...: �I...........1�� <br />.. �._. ' <br />� Insta)..r 3,��.!!......'�..inch water service pipe <br />Fer ..........L..�f_.Z.G.i..._l.4.=�..:.?9r[.. ............. <br />r� -7 f - .......................---._............ <br />O!t ............ ✓._�'^ ^---..�9!.-r....�..r_!�.`�i%1�:.xt�.[ ................ Street <br />I,ot .......................�...�............../. ........ Block No......_, --r•----............... <br />Addition ..........................._....�t.`...i:<:c.�t.'Ze.a.{�<�:_.:..��?................... <br />?iemarks ...................�%f..'::....'.:.:-C.....e.G.!:c.r.,..%..��....----- - ��- - <br />d_�..../C:t.�...... <br />�U ;,i, <br />............................... <br />U ' <br />/ a........... a_�....:..� <br />�� . <br />LABOR AND MATERIAL U9ED <br />No. i Sir.e � <br />....._ ...................!._................._._..� Lcad Connection Complrte <br />., tt ...............�..........I `addleComplete <br />, <br />,, <br />.,t.... . ....... ......... ............... �.. � _............................... <br />................ . <br />.....�........._�...../...........�..y :.:...........I Scrvice Cock <br />� Servicc Box <br />C <br />No. Huurs Lab�ir ..............................................Cost..................._............................... <br />Cutin_ ..............._.Pavcaicnt......:.............X........................ ..._...................Sq.Ft. <br />- � ,� <br />�i•. �, � . � . ....................X....................... ........................ <br />�J __.._............X. �� <br />....................... ........................ <br />....................X........................ „ <br />........................ <br />Total ........................Sq. Ft. <br />--'---� � --- ----._ ----- - -- <br />-- ---- <br />Re m a r ir s.......... _ .....................::.......::. a:::................................. _........................ _. <br />_ _ ...................._..........._............._._.....:...,.�.::_.:....:�.>..�......:__...................... <br />� <br />_ _ ...............................................:......: _:.:.:...:.................................... _.................. <br />prdet• : eceived.._......._ ............................ . .........,........................................./ <br />1t nrl. Com�.lcted ..:............:.:...�............................... , , , . � <br />..,..., _......:.. � .............. <br />Foreman <br />a <br />