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�� <br />w. n. Fo�,�, � ian u.ia:� <br />CITY OF EVERETT-•.Water Dept. <br />Application No. _..0.�. �.'�_ Date .....�... .�... ../ � 192....�. <br />' Lnstall._ �/'Y��__. __ inch w�dter servicc pipc <br />For . _ ti' Q..(�.,t,�l/ <br />_ _. <br />On . .. ��a.� _..._ . _.... Street <br />Lot... ..... -� .. _ Block No.. v �� � .. ._ ... . ... <br />AddiNon...............�.' ..�.Q....._�................................................. . <br />Remarka <br />............._... .... ........... _ ...._ _...................._ .._.__ _._... _.. __........... .............. <br />......._�..,�-__.._►... _ ... .. .._.._.... ��► <br />su � a.nc <br />—�— -._'—__—'—_—_'_-__--- —..__ '—'--�—'—:, _'_—._�.._._- - �.-:. <br />LnBOR AND ttA'fERIAL USF.D <br />-----------��-�-----------� --- - � - - ------ - <br />No. Size � <br />---- .... �-- -------�-----�-- <br />..............�................�Y..'...... I.en.l Connection ComPlete <br />............/..._ _....I....._�.o:......... . Saadle Con}plete <br />, . � „ <br />............`f....�.._ft.l.._.....j.Y..6_�.'� ......:::r�.t4.fcr- ...........................PiPc <br />� t <br />..........................I.......?: .....,./. . Service Cock <br />...........l ...............�....�.:....!:..,_. Service Box <br />...........................� . ......._..... _.............................................._.._................................................ <br />. ..................... <br />...................... .i.._..............._..� -_..........._..............................................._..................................._.........__.. <br />.......................... . . .............. . . . ._....................... .. .......... <br />— --�- �� -- <br />No. Houra Labor ...............�.�..:....................Cost_<.....c._....... <br />Cut in..._ .....................Pn� =ment.._....._.........X...... _........_.... <br />. ..................X........................ <br />'." .................Y........................ <br />....................X ....................... <br />_.. ....................................... .. <br />................ .. .. . . <br />............s�. rt. <br />.................... �� <br />---......__....._ �� <br />.............._. . „ <br />Totnl ...."' .............Sq. Ft. <br />---- � - -- — — —._ .._ <br />—.— <br />� <br />Remarks •� tt�z'IrI u11�1V.`.V_ d C.?��.(.,, ,..., <br />���C/J4"...�� -�4Y�'4. .tyi.�../'�4if/�J')�:�r�i �... , / <br />.. yt ........ .. ..... <br />.. .... .. .. . . ... .. . ... . ... ,... <br />Ordcr Received <br />, �.... _ .., <br />Work Complcted (,�- `��e,��G,�, <br />�rcmm `� <br />