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RS D. t'rorm 7 IOJO I I.IC ' <br />CITY OF EVERETT-..Water Dept. <br />Application No. .��D �.... Date . ....._6�.3 192....� <br />I " . <br />q\ Inst�ll _ /7 inch watet service pipe <br />. For _ __/�s�.-1r-ny.iJ CLQ�/ � <br /><� On ....... . _�.`�.. � � � Street <br />'� ,,, � <br />_ . _ _ ....... <br />�c i '.oc ...... Block No.. <br />�i,�� Addition <br />__ ....._.....__............ __ _ ............................_..,.. <br />Remarks_ ................ ....................... ._...... . <br />..... ....... .... ........ ............ ....... ... . ..._..... <br />_............__. ...._ ____....__..._....._ _ _ ...............__............... ...... <br />_ _ ._ ................_.. _ _.._. _ _... .._................_.........._. _ ._ . . ._......_ _....__... <br />. ..... . ._ _ . _ ......... . _. ... _ _ .. . ....... . __ _ ...._ _. ._._ _ ._ _. . .. _ _.._... <br />.... C _ � . <br />_ _ _._ � _ _ <br />(�SupM�<� < t �j <br />�—___..,,_�—__—_.-_.:__—. .. . -.—_..V `_ ��� f,.L__ <br />LABOR AND UAT�2IAL liSED <br />-- — <br />-- --- <br />D'o. Size � - - � - - . .. . . . . - � - - <br />----- <br />7........ ,�—__—_' _ . _'__. . <br />� . ___ . . . ___. ' "" . <br />_—_ <br />...........1........-..� ..dc. ... .. � Lend Connectian ComPlete � - <br />/'..........I �, � I Saddle Ct�omplMc <br />........./..... y..X.�...�.. <br />G �� . ` ` _';E✓.n<Yi.� ...................__....._.Pipe <br />.........., .............. _... � � Scrvice Cock <br />.................... .. t. <br />...._ .............. �......._....:..__I Service Box <br />�._ _.__....... ......._. ._ .............................................._--------... <br />.__..._..._..... _ .._.__...._._ ....................................._._......................._............ ........ <br />_......._ ............. .. .........................................._. ..................................................................._. <br />................_. _�.___...__..... <br />.._._ . .........._.._ .... ..........__... <br />Ao.H ------------- ---------�— - - <br />, � � �r <br />ouraLab�r ........................................Cost.t'�.....:........._.............................. <br />Cut in ............ ...........Pnvement................_..X.........._........_.. <br />............s�. rt. <br />..................s........................ ,. <br />................ <br />.................x....................... „ <br />....................%....................... .`................ <br />.. ............... . .. <br />Totul ....................Sq. Fc. <br />.__-_ _. _. _ _- -_-. __-:_,--___---__.._- .. <br />____ <br />Rcmarks �latcrial Slip hu.�!_J�7F..._.--•,---.�.�. <br />�� y /� � X _ _.. . <br />....... ,:�C_:^.. L.�....:..Y �"�.�16�£,rn.^..ti-i-L�. <br />' ...... . .... / <br />._ _. .. _�_ .. ._ .. . .._.. <br />Ordcr Reccivcd <br />. ' ... <br />Work Completed � � � ' <br />r _ `- <br />�_� E� �< <br />/ oremm <br />