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r ' <br /> ^F'.D.�orm 7 1000 11.14t1 <br /> CITY OF EVERETT•••Water nept. � <br /> q�1 � _ ' Dtte. .._....._ �_�/'-S�_ _192..':�.. <br /> ApplicaUon No. _ _. . <br /> � �� <br /> I Install 1 — mch water service pipe <br /> For_.. ._ _.. .Id..f _ . . .... <br /> C�.J ._�- p � J�.r ___. ._ . <br /> .�. '"i'.y 3 . . ...._�-6-!1�-�-�. ._....... . ..............$[[tt[ <br /> OR.............. . <br /> Lot_...........................__........._............Bl«k No.__. ......�y_.S_�.....__...__._._..._ <br /> Addirion..............__. ......... _......_....... ........... <br /> _...._ ............................................. <br /> Remar e......................................__...........................__...... . <br /> _.................._..... _......_. <br /> _... __...................._ __.............__...___.................._..........._.........__......................._.. <br /> __ ___................__ ..._----......................._............ _.__..._.......__......... <br /> _ _..... ... <br /> _. _ <br /> .... ... ' <br /> � � . <br /> .... s�n:i� . <br /> --- -- - - - -- --�( ']�C`��__- <br /> _ — _. _ <br /> LABOR AND afATER(AL USF.D _ _ . <br /> . .--- -- --- - �- - ._ <br /> -- -- ---- _ __ . <br /> �� �Size ---�" <br /> L...............� � —� —_ <br /> --- — - <br /> - -- - - ------ --- <br /> — -- <br /> .......,_ ' . .,,,,,,Y...r.x� : Leed Cr nnection Complrte <br /> ........_..�.........t.'...a-..h_F..__.. Sa�dle yomPlete � <br /> . I . .� „ .� r� e <br /> , , <br /> c - ✓c ........ p <br /> i_....2: ........... ... _... . y�..:.._..._............ <br /> ..........i/........._._�_._..?'.�..... Secvice Cock <br /> ...........�.............. �.......C-.�.....a�. Service Box <br /> ........................_. ....................... . .............................................................._.......... <br /> ......................... ......._........._ .'_..___. . _...._..._... . <br /> _ ._........ <br /> -- ------.—_�.�f—--- <br /> ------- <br /> No. Aourfi Labor............. .........................Cost..........--............. <br /> .................. .._... _.. <br /> ........Invement.._...............X........................ ...........__...Sq, Rt. <br /> Cut m...._.....:-.... <br /> �� <br /> ....................A........................ .................... <br /> ....................X........................ ................_.. ., <br /> ....................%.........._........... ......._._..__.. <br /> ,. <br /> Total ....................Sq. R:. <br /> Remarks� A(s4erixl.�Slil� .i�..533y=_....�..W+.... <br /> q�5 �r�j •r �c',:r+ a�x. �i yt .j:,�a E ,��e.,�,�. _ . � <br /> � <br /> ... _ _.... . _. <br /> Ordcr Reccivcd -- — � �" , <br /> Work ComPletcd. � - �/� � i t ti,r-t`:.� <br /> Foram n � <br />