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� , ✓ <br />w. o.n•onr�aH ��� •� 1 •. <br />CITY •�F'EVERETT--Water Dept. <br />Applicaiion Nu...... �. :c Date...�/..�':......::':?.....' .............19 � (", <br />� ' '..1-: ...// H <br />Install....,.. � .....................inch water service pipe <br />I'or � � <br />............ <br />.................... ........r�......................................................... <br />..... . . <br />�l'„ "-1 � ' <br />; ,,,; ._ <br />.......r..�...........�..1.: ? ................................------- tree <br />On ............. . , <br />i. o t ........................................................ <br />..._.. Block No..........----....... _ _......... <br />� ({l�lilOfl ... _ ...............�T..............................._.......................... ...................... <br />� <br />. , . � <br />r.emarks ��....i..:' ..:.........:...........::............. ..--................ <br />........................ .... <br />_ u �s _ u _ - ..........-- <br />� ............... <br />� ...... _ � � .. � ................. <br />.......... �.� ........................................ <br />. � �� �? � �nt! _ ,. <br />fn � ....... .............'........... <br />Superintendent <br />.......... � ........._...- ......... ............ <br />......�:... ��...:...... <br />- �U i,' � <br />1-' j_ <br />LABOR AND MATERIAL � _ <br />No. _ j Sixe �-_--- <br />-- — <br />-- <br />� ..........................I Lcad Conncction Complele <br />........................... . . <br />. , Sad�lc Complcic <br />................. ........... ................. ...... , <br />�:.' � � �(. ��� � ..................................................Pipc <br />..._ft. ....... � ................. . . _�....:.:......-- <br />..............< � <br />� .......�.�....' .............. ScrviceCock <br />...................... .. <br />............... Scrcicc Box <br />� <br />No. IioUrs LaUoi._ ..............................................,.................._.. <br />Cutin.....__..__.__Favemc�t.._... . .......X....._ ................. ........................Sq.FI. <br />....................X........................ ........................ <br />�� <br />a........................ ........................ �� <br />.................... ' <br />X........................ ........................ .� <br />....................Total <br />_ .................--.Sq. Ft. <br />_--_ ----- .... _ _ . <br />. � iit;r'......):,.i.!..:,.:.,L ................................ <br />R�am a rxs ............ ......... ........ _......_n..., <br />. , ;. _ . , <br />.sZ � �• �x.:?.�.cz..:...�_>....c......._............ <br />_ .._.....__._.._..........._ .....................:....._.._..._.. <br />� . <br />.-' ""-'' � - --- .......................................... <br />.. _ ................----. <br />�, ....... , ,�,� ................................... <br />Order '.ecett•eil._...._..........._.... , <br />......_.._......_..,....:�...i � 7.. ,.c. ................. j , <br />\l'nrl. Cnm 9eted a�..' `J..-. S..L .... _..... <br />" '- Foreman <br />