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O � ,« <br />� /✓ '3 9 - - r, , , �, <br />� <br />w. o. ron� ` <br />' 'CI�['Y OF EVERETT--Vilater Dept. <br />< -� . ,� ti���- � z <br />Application No.`.:.-..�_�t...��. Date .................c...----.1..................19....- <br />•• ( �.......... inch wateF ser ice pipe <br />� ❑sta <br />For . �,; ' . '' <br />/� i, /)) <br />....... �.!'�f�. � :......a:.l-.'-^l. r.... X ti�.:..!:�..1_..i.•. �..�L`'"' .................. <br />1 � / <br />.- 9� � v< �,( .� <br />On ..........1.�..c.......�.........�.._.�..:x� :::r.:.._:�:r.H .......................... Street <br />Lot.............................................................. Block No.....---............................. <br />Ad�lition ............................................................................................. <br />Remarks............................................................... . <br />. . . . . . ..... .. .. .. <br />� .. .. .... . .. ... . .... . . <br />, , <br />.. - . <br />, ., . ..: .c. <br />................................................::... ...1.......:..r.:._?.... ............................"'............. <br />�J.......� ..........:........:....................... ................................................."""................" <br />J /' <br />"1:.........._� .........:. ................ ................................................................................ <br />// _, � �� Superintendent <br />LABOR AND MATERIAL USED <br />No. i Size <br />No. Hours LsUor <br />Cut in............_...... <br />Lcad Connection Complete <br />Saddle Complete <br />... _ .................... <br />Scrvice Cock <br />Ser:ice Box <br />....................X...... <br />.......................-.Pipe <br />... ....... ........................Sq. Fl. <br />........... ........................ �� <br />.......... ........................ „ <br />.............................................. ........................ �, <br />Total ........................Sq. Ft. <br />-----"'---- -- — <br />Re�narks ............................................................................................. - <br />Order Recci��ed.......... <br />\Vm�Y. Completed....... <br />...... <br />Foreman <br />