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- I?I24 � �- �-1 J� � <br /> w, o, ro�w a � <br /> CITY OF EVERETT--Water Dept. <br /> Anplication No..�7.L.:�..7.... Date.........�...:� � �` `� <br /> ............................19...... <br /> Install......_......................:nch water service pipe � <br /> For ................................ta........................................ <br /> .................................... <br /> . ... <br /> � � t-c. � �Li...................................... Street <br /> On ..................✓...n....... ........._� <br /> ................ <br /> Lot.............................................................. Block No..................-----.............. <br /> :lddition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> ............................................................................................................................ <br /> ....?............................................�---..................................................................... <br /> .:�........�'.��.',....................................]....,�......;�.............................-�---• <br /> � �) y.,LL�L.t <br /> ....................�.... <br /> ..................................................�. ` <br /> ..................................... <br /> � —�/- �� Superintendent <br /> ___ ��y ( ' 1__,/ <br /> LABOA AND MATEHIAL IISED �� —� <br /> No. Size <br /> ...................................................... Lead Connection Complete . <br /> ...................................................... Saddle Co:nplete <br /> .......................ft............................ ........................................................................Pipe <br /> ...................................................... Scrvice Cock <br /> ...................................................... Scrvice Box <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �, <br /> ......._............... <br /> ....................X........................ .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total .._....................Sq.Ft. <br /> — ---- <br /> Remarks.....�............................................................................................... <br /> .......................................................................................................................... / <br /> / <br /> ................................................................................................................._........... <br /> OrderRecei��ed............................................................................................... / <br /> \Vork Completed........................................................................................ . � <br /> Fareman <br />