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�. a cx�[cc a:...n-4/ ',� / 3 � I � 1. <br /> W. O. IOqM ] �� �� . <br /> CITY' OF EVERETT--Water Llept� <br /> ApplicationNo..�.�.�.�'�.... Date....-y--.:.---..�..�.............19.�...5'-�� <br /> '" i ,� <br /> lnstall.....��:.................inch water service pipe <br /> For ................................................._/....�.........J. .......---..................................... <br /> On ............�....J.c2..+�..� 5....tL..(.fi'.''�.:—.............--.... Stteet <br /> ......-- <br /> l ?.- G <br /> Lot.........................................................•---- Block No......1......._.._................ <br /> Addition ............_�. .............................-.........._...-----........----............... <br /> Remarks ...............�?2.�<L..t_.�r.!:��..........,....................--- <br /> ................................_..............._...............................-�-�-�--..............-------.......... <br /> � . ... . .... ............................................. a........� <br /> �p � ....................._......�fs���2..s:.a1.Q.............---��- <br /> -�. ....� ..: .... � <br /> rf � �� �uperintendent <br /> r� <br /> LABOR ANII MATERIA,L IIBED s <br /> No. I Size � — <br /> — -- — — — <br /> ..................................................... Lead Conr.eclion Complete <br /> ...............................� ;..........._..... Sa�leComplete <br /> �[i <br /> ......_..._....�.._sc.....lz................. .....�:'s:........__.................._....................._r;r� <br /> _..................'...... ......................... s��i•��co�x <br /> .. ..............._............_..........,......... Service Box i. <br /> No. Hours Labor..............................................Coat......................._........................... <br /> Cutin...................Pavement........_...........X......_............... ........................Sq.Ft. <br /> .�� .�';��� ....................X.........._........... ......._...._......... �� <br /> ....................X........................ ........................ <br /> ,� <br /> _�u��� <br /> ....................X........................ .� <br /> ........................ <br /> Total .......................Sq.Ft. <br /> ----- �_ —� <br /> ---------- � <br /> , ., , . <br /> Remark::..........................�r3.. . ..:Ac.�....�.n_t:.c:.....^!.._�:..:...•.....�Rr.<:,.. <br /> .................. ........................�a.��.n....�.....a..:_i.��.:..,.,..........................--......... <br /> ......................................._....................._............................................................... <br /> OrderI,eceived._... � .........................................._...............,......................... <br /> ;. \ <br /> , t ;. .. /, . <br /> \�ork Completed.....L.::._r...:.:.::...:..:1.................._......�.:..:.�::....:.z^:....._._. <br /> Foreman <br />