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,. �.. 4 { <br /> W.D.Fam1) I(YU I I-10.31 <br /> CITY OF EVERETT••-Water Dept. <br /> APPlication No. �_!-J.. I "I_.. D tc_. _ ._... �`�. 192..�.. <br /> �� rr <br /> Install . ��li watcr servicc pipc <br /> �, �. G�, U' <br /> For . . � <br /> �. � Qn _... ...�� 0 � ....__... °!-'`.cQ � . ..... ..Screet <br /> Lot_...........I..�.... <br /> �l�' .!?-�.� �.BlocF.No . .._ J _. `v'" _ _.... <br /> Addidon_..............._.._........................................................... ................... ..... ...._ . ........ <br /> Remarks.....__........ .................. ..._ _................___...._._............. <br /> .............. <br /> _. _ ...............................................--....__ ................................_..........._....- ........_. <br /> ............ ......................................... ...._........._.............__.._......._... . ......__..._........_..... <br /> _. .... _ _. <br /> ...._.. <br /> 'L �".... I _ <br /> . s�o.�i .�a � <br /> —. .—_----- =_ ' _— _ — _ _ <br /> '�_ <br /> LABOR ANll TIATERIAL liSl'sD <br /> No. I Size ----- - . --- - .-----.-- <br /> -- •. - ---�---�—�-- <br /> : 'I % <br /> ......................_......,d:...:4. .Xtn Lead Connection ComPlete <br /> ............'._...........�.:t:.d_f•..._..... Snddle ComPlete <br /> . . .. <br /> _......./�1........ft.� .....x:............. ..v1.�.. .!�:..................................i'iPe <br /> r. „ <br /> � . a... .......... .. Sercice Cock <br /> .......................... ..... <br /> .......�................. I_�.�.>�.t'i . Service Box <br /> .......................... .................._ . ._........................................... .._......................................._......... _. .� <br /> � — --- <br /> --- — <br /> � � <br /> No. Hours La6or.........._�:.........................Cost....1....:.........._..........................._..._.. <br /> Cutin..............�.-_....._Pnvement......_............R...................,.... ....................S9. Ft. <br /> ....................X.---.................... �� <br /> .................... <br /> ....................\........................ .................... �. <br /> ....................T....................... .� <br /> , _..._........__. <br /> Total ....................59. b,� . <br /> . _.__- -.. - _ - — —.- <br /> _ `�.'�l _ _ <br /> Remarks "�1�CT731 Slip J�� . c <br /> y �. <br /> Ordcr Rc ci� � >Y:.1.6 3dc(.�...t , � Lorv� .._.. <br /> i .-/ - <br /> ..._ . ._�r _ .. . . _ �.� .. _ . ...__.... � <br /> ��a .. ..... .. ,_ � .. . __. . <br /> VVork Complcted _ _. _ _ r/ � . c� �:'� <br /> 1 ro�.�� , <br /> / �— <br />