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.r , <br /> w!�.Fo..�i�000 n: � � <br /> CITY OF EVERETT--•Water Dept. <br /> APPlicstlon No. _�._./..�4.L..... , Date..... .... _ _9/J 0__ 192..�.. <br /> . <br /> . .' , _ <br /> Insult . /�_ ...mnch_wate�r service pipe <br /> For��"�'�-�-o_�tJ �' �-�.�+ <br /> p� I � 7.� S <br /> __..... ..... ._. . .. . .. ... ... tr ec <br /> Loc.....................__...... ........................Block No.__........ ._. i. <br /> AddiHon............_:..........................................._..........................................__............ .......... <br /> Remarke ................... ..............................................._...... ._........................_.._......__. <br /> _..__ .. _............_........_.....................___......_._ ........_._._............_.........._......................._. <br /> . .._.........._._...._...__................... ......................................_......._.................___......_....... <br /> __ ..... ... .. .. ......... ............. .............../.O.....-.......... ............ ..__....... .._.......... <br /> .._.............._Y..'�..... ........._J .._. ....... ._ . <br /> ..... SOupeN�n� mt .. <br /> _--____'__'_-- ____ _"_._—Y=—_—=—'�— .— . . <br /> LABOR .�ND 1HATERIAL USED <br /> ---- -- — - - ---- --- -------_. . _. .. _.__ _.- - - � --- --_ . <br /> No. I Size <br /> ---�—�— — ----- --�---�-- ---� --��--�-- ---- - <br /> ...........1................d:.•... . . Lead Cnnnection Complete <br /> ...........L...................�._x..4......... Sad lu Co plete <br /> ........�I..�.U........ft.� .....a�........... ..-�.[i...�............................ .PiPc <br /> I l " <br /> ............L............. .�.. ....._. _ Service Cock <br /> ...........G............ ..S,�t.rr.¢i..:... Service Box <br /> ...........................�.................... . .............. ................................................................................................. <br /> ...........................I....................._ ........................................................................_.................._........_ _ .. .. <br /> .......................... ....................._� _..............._........_.................. _ ........ _.........._.... ......__..... <br /> ---- ------ <br /> �3� <br /> No. Aoura Labor_..........�.......................Cost....._-............................................ <br /> __ . <br /> Cut in........--.............E'avement....................�....................... ....................Sq. Ft. <br /> ....................R........................ '� � <br /> .................... <br /> ....................X....................... �, <br /> .................... <br /> ....................X....................... ., <br /> .................... <br /> Total ....................Sq. F't. <br /> — - __ —._ . —.— <br /> -- p '_- <br /> Remark .{ � y �/ <br /> pl:tcutRl SLp i�a ��1-�3 S --•- ... <br /> .. .... �/C�j�Y iVL.'�z-Pit-e...`v��. �£r�tfvruJ'. .. .._.. <br /> ......... . ..._...:._ .. ._._ .. _ .. .... . .. ._.. . _....... <br /> Order Received .. _.___ yJ \., __ _ � <br /> Work Completed /�. � `'.� ti C�.� <br /> �,. . � <br />