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'L J. PHII;UC :tM� � � � `- 1� L'' •_ "\ <br /> w. O. 1'ORM^I:1 � • • <br /> CITY OF EVERETT--Water Dept. <br /> -, <br /> Applicafion No....�.....��.... Date....--/.::_--......_7 '- �.-- <br /> .................1�..... <br /> Install....._�:...):...............inch water service pipe <br /> For ......................................................-- <br /> / -(� � ... <br /> �.:................................ <br /> �11 ................................�L.....d G �4 �-..�� <br /> . Street <br /> 2 .............. .................. .../.;_.� <br /> r <br /> ;.ot_......................... ---........ ...--............. Block No......�;^.�.................. <br /> .^.ddition ................�..-.. .:.�...... <br /> .....................�....................................... <br /> remarks ...................... ._ <br /> ,�._._ .................�............................................ <br /> 1................. ........ <br /> ...... ....................................................... <br /> .................... <br /> _. . _.r.../ _. .. .......................................... .................... <br /> e......... ............................... <br /> _ ._ _.�. �... .. _.................. --- ............ .�.....,......... ........... <br /> -. <br /> ... .... ............. <br /> �..�-����� <br /> J� . . .....................�--� <br /> — 9"�/ ���� Superintendent <br /> i <br /> LABOR AND MATF,RIAL USED <br /> -- -_No. Size � <br /> - -- — <br /> ..................._.....�..................._......i Le;�.d Cennection Campletc <br /> .............. ..._..............._.� �addle Complete <br /> ..........1�:..:'t I..._�..':................ " '.c..:......._.......... <br /> ._�...1t..,Lt.... ......Pipc <br /> ._._...._........ <br /> . ..........._ ,.cr�ticc'Cock <br /> ...................../........:%... � <br /> ......................./.. .. ...................... Servir.c Box <br /> No. How�s L:ibor..............._..._................._.....Cost.................................................... <br /> Cutin_. _ __.........Pavemc�t_.......__.......X........................ _......................Sq.F[. <br /> . � <br /> /l , r ................ <br /> ...._ ................... �� <br /> :.. ,t�..� ..... ........................ <br /> . <br /> ....................X................ �� <br /> , ........ ........................ <br /> �i �-:%' <br /> ` ....................X........................ �� <br /> ........................ <br /> Total ......................_Sq.Ft. <br /> _-- ------_..--------- --- <br /> . : <br /> �.i-JJ� �'i:'71721'l�.C........J(_.2...'UC� .:�..:L.i.......:...::....Lf:S:.;............................ --_ <br /> ....,. <br /> ,/ � / � . ,% , <br /> l U a�P,..'.___......_....._(...................!...T........�..-...::..:............5:.�:.�...._LI..:fL:............... <br /> `l��..S.A.:{....5........S:.!..`.l'�...........:.........:.....::..:................................................ <br /> 3��� /�. <� s,�r�..�,�,- <br /> �h•de: ..PCMPc! _............._'............................................ .......r...................... <br /> �i�r.I � - j � / <br /> . CmnFle,ed..`.�.-._?............:.........._.............,'...:_''.!:::.:.c.e.c.-.--._. <br /> Foreman <br />