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- - - - -�..--�� <br /> w, o. rosw a J/\I/ / � r l�� . <br /> J' .��/(..'�, <br /> CITY OF EVERETT.Water Dept. <br /> Application No..i�l.:.I.II.... Date..............?..-...L.-L;.�....---....19...... <br /> Install...............................inch water service pipe <br /> . <br /> or .............................................................................................................. <br /> On ........ ._7�.�.. ..... , , �i .. .. <br /> � ..._...�.0 ��..�n� r_'r. <br /> .. ......::..:...c�..:............ Street <br /> ............. <br /> ot....................................................._....... Block No..................................... <br /> Additioa ................................................ <br /> .......................................................... <br /> Remarks .....................�.. <br /> ..................................................... <br /> � ....................... <br /> ..........................:. <br /> ..:....:...F:.:.............................................................................. <br /> .......................................................................... <br /> ............................................... <br /> .......:_.._........---- <br /> ............................ <br /> � t ...... <br /> ................_......... , . � <br /> .............................._.... " . <br /> - t.J.-.. <br /> Superintenderit <br /> _ � <br /> __ ��f" <br /> LABOR AND MqTERIAL USF.D <br /> _No. I Size � <br /> """"""�""""••--� ..cad Connection Complete <br /> .......................... T <br /> ..................................... ... Saddlc Completc <br /> .............. <br /> .......................f t.. <br /> .......................... ....................................................................Pipe <br /> ............................. . ............ Service Cock <br /> ........................... . Ser✓ice Box <br /> .......................... <br /> ...................................... <br /> �_ ...................... <br /> ............... <br /> No. Auurs Labor..............................................Cosc.............................. <br /> Cut in....................Pavement....................X........................ .................... <br /> ........................Sq.Ft. <br /> ....................X........................ <br /> ......._............... �� <br /> ....................X...._.................. ��� , <br /> ........................ " � <br /> ....................X................. <br /> ....... �_ �� <br /> ---- <br /> _ Tntal - ........................Sq.Ft. <br /> Remarks................... --- <br /> .............................................................. <br /> ................................................................ <br /> ....................................................................... <br /> ..................._. <br /> .......... <br /> rder Recei�•ed.................................................. <br /> ... ........................................ <br /> \Vork Complcted..................................... / <br /> ....................... <br /> ........ .. .. <br /> Foreman <br />