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ZI �I77-.�3�y �, <br /> �-� �,- ,��,s i U <br /> w. o. �o�w,a / <br /> � CITY OF EVERET'T--Water Dept. <br /> Ir�t�� ...is_�f <br /> 3 -/ .................... <br /> Application No....��.�.:'�'.�... Date......:.................. <br /> 7nstall...............................inch water service pipe <br /> . ... <br /> For ......................::...................................................................................... <br /> � . Street <br /> � � <br /> 1�.r'.:�:��:.�%:�.._:Y......,�..:............................................. <br /> On .....:... <br /> Lot.............................................................. Block No..................................... <br /> Addition .......................................................................................................... <br /> Remarks ................ <br /> .......................................................................................... <br /> .................................................................................. <br /> ................................................................................... <br /> ...................................................................._.............. <br /> ............................ <br /> .............................................................................................._SuPerintendent <br /> LABOR AND MATESIAL II3ED <br /> No. Size <br /> ................. <br /> ....................................I Lead Connection ComPlete <br /> ................. Saddle Complete <br /> ............................ ........:'ipe <br /> ........................................................... <br /> .......................it._......................... 5ervice Cock <br /> ............................. <br /> ......................... <br /> ,..,..... Service Box <br /> ................_..-- <br /> ...........................Cost..........................._....................... <br /> No. Fiours Labor................... ......................5 Ft. <br /> Cut in....._ _..........Pavement...................X........................ . 9.. <br /> ....................X........................ ......._............... <br /> ...................JC........................ ........................ <br /> ,� <br /> ....................X............. <br /> ........... ........................ „ <br /> Total ........................Sq.Ft. <br /> --- <br /> �----- . ...................... <br /> Remarks..................................................................................... . <br /> .......•r•Receiced_..........................................................._......'..................._....... / <br /> Orde <br /> \Vork Camp ����� �� Foreman <br /> 1 eted....................................................... <br />