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2aog � ,, � � � <br /> e. ,. nnina-aw ' � � <br /> w. o. �o�q � <br /> �.c c.i�. �� � <br /> CIT1� O� EVERETT Water Dept. <br /> Application No.:...:...`:,'..`,'...� Date......�:�:;,,=.;�/ <br /> � ............19....-- <br /> Tnstall.....3:.:.!�.........� water service pipe <br /> For ..................................................... / <br /> - ..✓...1................. <br /> � . . .. ................ <br /> ...r <br /> On ........................� �,_. �l.f-'�. .. <br /> ......... ............ <br /> y.... . .•.. ... ... . Street <br /> Lot............................c...:............................. Block No..........3.f.:...�..`.......... <br /> Addition ............,f. ..l......................... <br /> _. <br /> �........................ . <br /> Remarks ...�.--•-��- �-����-�1ti•`-:l.t;�.........._�::.4.'.�.:.. . <br /> � �.................... <br /> -..� �....... <br /> ....._�.-.%..i�:�?.s:._�..c.-�:.�ti..�....f�-....._�a ��_:........... <br /> , ...................... <br /> ....................................... <br /> . .i•-._...r�......................Y...........------• <br /> ..................................� J •i JJ <br /> • .. <br /> ..................... <br /> ....,_,F._�..�.,G`,?..�,.. l...!:d_�.!-:t�! � r'-< <br /> •-•• .. <br /> / .... <br /> • ... ..... <br /> ............................................�t.......:�.....J.`-�F���'��--C �.. ..---• . <br /> � �..Z .. .....-Supertntendeat <br /> -- ��`�' <br /> LABOR AND M��.LERW, IISED <br /> ---No. Size <br /> ...................................................... Lead Connection Complete <br /> ..................................................... Snddle Complete <br /> ............?}....St.....�/..fi............ _ (1a...ly.:..- c <br /> �. �.................................................Pipe <br /> ....................�....._�f!�"............. ScrYi��Cock <br /> .....................1................ Service Hox <br /> ................................................................. <br /> No. Hours L�bor..............................................Cost................... <br /> ........_....................... <br /> ut in....................Pavement....................X........................ <br /> ........................Sq.Ft. <br /> /� - . <br /> '� � L��-:i . .... r.c'' ....................X........................ �� <br /> � ......._............... <br /> / : <br /> � - .. . . ....................X........................ <br /> y . � ........................ �� <br /> -'/�.��C�c� �... - i <br /> ....................X....................... �� <br /> �� � Total <br /> �---� _��— ..............._.......Sq.Ft. <br /> Remarks........................... n.......:.t.�......:,� <br /> `i i, `r'� <br /> .... � . <br /> : � <br /> � . ...........�....................................... <br /> ............................ . - <br /> ..'"�::r..:..::.�..�..�..ct.:::.:� <br /> .........................t..�:.....s. c. <br /> � .................. <br /> , <br /> ..............................................::.....::.t.:.:.;.:.x.�........................_. <br /> ............................ <br /> OrderRecei��ed.......................... .......................... .......... .... .. <br /> .. <br /> .. ... .. .................. <br /> \Vork Completed..s:..::i�:..%...:.:......................::: .._:. ..:.:.. .......... <br /> � ' `. ' = �..,........ / <br /> Fareman l <br />