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v /. <br /> [l. J. PRIC�RM� � � � _ '/ :� � � .. � . <br /> M'. f�. fOFM l <br /> CITY Oi EVERETT--Water Dept. <br /> ,, / ^( -/ <br /> Application No......::.�.....::.. .... Date....__.....:�..:...�...:.....!..........19.�_'.<. <br /> Install_..._......'.��......_.inch water service pipe <br /> r��• <br /> ............................. ................................... . ............................ ........ <br /> ,, . , <br /> On ...............::.'�:_!.�.'.........�.� :.......f.:.:...................... .............. Street <br /> i.ot.........................................._........- ..... Block No...................----....----...... <br /> �di;ition .......................................................................................................... <br /> T:emarks .......�:�:.:.s.�.,:..�..:.::..::...!.........:.......��.!..:.....J......._...........':....:...... , <br /> / • <br /> ...................................................t_...........,._(......._.1..........._..,./_-..--.". ..�_..� , . ) <br /> , , <br /> , , <br /> .......................... -.................---- � ..:...:.__ ......,....... ........._.........:.... .. ._ <br /> �� <br /> , <br /> _...................................................................................-- .....z:,.....�...........:.:._. <br /> � � <br /> �:_:. .�.. <br /> ..... .......................................................................:................................. <br /> Superintendent;�i <br /> LAAOR AND MATERIAL USED <br /> No. Size <br /> —�----- — --- <br /> . I Lcad �nnnection Complete <br /> ........................._i.......................... <br /> .................................................... :,addlr Completc <br /> ....._....SQ....ff.......,�/ . . ...I ./.�1. .e�sr................................._......Pipe <br /> 3 y�....... <br /> .................... <br /> �........... .�............I Sc ock <br /> ...................................................... Scr�icc Box <br /> No. Hours Loboc................................... ........Cosl........_......................................... <br /> C�al in........._......._Pavemcnt....:...............X................._..... ........._.............Sq.Ft. <br /> �y /�,lia.lv ....................X........................ ......._............... �� <br /> `, a � ....................X........-�._......_... ........................ .� <br /> O–� <br /> ...X.......... ........................ <br /> Total ........................Sq.Ft. <br /> ..--._ --_------ --- i — <br /> _ . <br /> F.�•ntarit�..._..__...........................��-.... J f..:.....�. ._.1:.u:....................... <br /> � „ <br /> . .._....._._.._..................................../.l� .. ..eL..r.--•--`".re.�r:i.:....:1.,.:._c�:>.� <br /> ........_.. <br /> ............................................:1....�.>.�:t�.�............................................ <br /> ,)rde: 'r',eccicr_1.... ...._..._.............._............................................................. / <br /> ���,���: c���„r�a�c1�..--...�...-..S�.G...................r.�����r.�,:��.. ../ <br /> �oremnn <br /> � <br />