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I � . � <br /> S 1.PriebHM 1A�2 I _ .- <br /> 0/.p,Form]� ' <br /> CIT`�' OF EVERETT--Water Dept. <br /> Application No`5~a..!..�. Da .................................�.�_�.1�.� <br /> InstaU....� ..�t� mch water service pipe <br /> � ... ............' <br /> ) <br /> Fc,r -... �.{:..✓....,:...R1::..a.E...-.._........................................... <br /> ................. ' / / <br /> �7 .� �. . L.��. ........ � . Street� <br /> On ......................... .. ... .... . �_..................._....... <br /> Lot..................�.�....'.._a.�.................. Block No.......�1.....�...�............. <br /> Addition .................... ............................ ....................... ......,..'... <br /> ..._ ... . .....,..... <br /> P,emarlts f I ' � � <br /> .............cV. � •a:.�.?..8...:•.h.::f�::�......_�..........••-----.........--....... <br /> �"•-- /� <br /> .: l•.,`�.�:"..:.�:i.ct!::.?.:t:ti.........................................._\.. <br /> ..............................._............. .... <br /> .............................................................................................................................. <br /> .... ..........� , <br /> ................................................................................._..----'-........ '.......... <br /> Y/ �' , <br /> ,...! ' , <br /> ..............................<.ti.....::. .._ . <br /> .................................................................. SuPerintendent <br /> ; '�.l • <br /> LABOR AND MATERiAL D6ED <br /> p7o, � 5ize � __ <br /> .__�_ .. . . I......................_...I Lead Ccnnection Complele <br /> I �nd31e Complete <br /> ....................._it............�......�.�...... .......................................................................Pipe <br /> ....................... I � Sr.rvice Cock <br /> ...................................................... Servicc T3ox <br /> � No. Flours L�bor............__..............................Cost...._.............................................. <br /> Cutin....._.........._.Pavement........__........X........................ ........................S4.Ft. <br /> ....................X........................ ........................ <br /> ,� <br /> ....................X........................ ........................ <br /> ,� <br /> ....................X........................ ........................ <br /> ,� <br /> Total .................. Sq:Ft. <br /> --- _-- -- � — .. ---- -- <br /> -------.–' . �------- � I <br /> /I.._..:r:..'.. ...:-c��.... ..._.:..:.';.;......�: <br /> ,__ - <br /> rtc;u�rks ..�.�.6'.... -- . � <br /> . ... <br /> .,.,. . � ............................ � <br /> J '/ / • - <br /> � �.i.::.,:.:..:............... <br /> _...................................... <br /> ........�......................................... . <br /> .........................................................................................:./............................... / <br /> OrderP.eceiced....................................-;._)--........._..................................... <br /> �.i1� /,:: ._ ,� / <br /> ;�'ork Cnmp',eted��.11.-...../-..�l.....:......0..................................Forcman <br /> ( <br />