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i <br /> H. .1. pXI��OC ]M��� � � �� �� ✓ . <br /> W. O. fONM ] t <br /> l /�� <br /> CITY OF EVERETT--Water Dept. <br /> Application No......._���.... D ..........%`au:...��. ..is��.-'` '� _ <br /> ....... . <br /> Install..........�`{..��_._--inch water service pipe <br /> For .................3./.1..r3......f... �..,...................................---............. .......... <br /> On ................_:.'.s.�..y..:�.`..'�...._../...:�:.�?-��.......................---..................Street <br /> Lot.................................-"3-C�--------�---.. Block No............... _ <br /> 2�5a_....._ <br /> A�ldition ............................................................�....................._...................... <br /> Remarks ...---...�'-t'.:�.t:�-`�: �.�....,��......K:C::;i�wcU <br /> ' , <br /> .................. <br /> ..............................,.:�t.:�x.c.�'....e.��z.:L.....- -�' •! , <br /> ..............................._.._... <br /> .............................................�---.................:� <br /> .................................-......__....._... <br /> ........................:..._� ...�. .�`"�. . ..........................._..� . �.. �. - <br /> ��. . � :�. ... .�1.`' ia...............-......._......��.�.:...�._�.:.Eel <br /> _•,'���y superintendent�/�`� <br /> � <br /> LAEOB AND MAT6RIAL II86D � <br /> No. 3ize ,� i <br /> ............................ ......................I Lead Connectton Complete <br /> ...................................................... Saddlc Complete <br /> .................'3.St..._�1/.Gt............. .........��c.::.�°j.........................................Pipe <br /> ......................J......._�.��/............. Scrcice Cock <br /> .....................�l....................,......... Service Box <br /> No. Hours Labor..............................................Cost........---......................................... <br /> Cutin....................Pave��ent....................X........................ ........................Sq.Ft. <br /> 3�„ �.�.,�.,,�.�yo ...................x........................ ......._. „ <br /> ............ <br /> ....................x........................ ., <br /> ........................ <br /> ...................x........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --- --------------- �7�--- <br /> Remarlcs.............................-.... .. a,..... .a..Ci:........._..................... <br /> .. . ......................................�7:.. . ,.��...�..n_+asti-................... - <br /> 4 <br /> ....................................................!�r��t^�.4.+..�-............................."""""'........... <br /> prderl:eceived.............................................................. ........ <br /> �y .................... <br /> \I%orF: Completed./..�-.�.G.'.3 s............... . ...r...i.�fi�..eka.4y�............ <br /> Foreman \ `` <br /> � <br />