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, _ � 093 = ,, _ : <br /> _ -� <br /> w. o. ronw � <br /> CIT�' O� EVERETT--�Water Dept. <br /> � : ., .. � ,;. <br /> Application No...,i..J_ ,.".. .... Datc........:............ '...:'...............79...:.. <br /> . <br /> ....... <br /> Install........:;.'.............._ .. .inch water service pipe <br /> For .......................................... <br /> . ...................... .............................................. <br /> ,. . ... <br /> ' :....'. i ; :!, ; , <br /> On ..........:............. ........:::..:.:........ . .. ................................. Street <br /> .... ....... <br /> Lot.............................................................. B(ock No...................................-- <br /> Adclition ......................................................................................................... <br /> Remarks .......:..._..'..... � - �� • . ._. � ��,, <br /> r, <br /> ..........:........... ......:..................,......................-'-- <br /> � � .. .. ; � , ...--•-- <br /> .................._..........'t:........�F......::.::�:.............. . ' <br /> . .............:..................................... <br /> ............................................................................................................................. <br /> ......�............................................. <br /> � . . .l::....:....\....__p{'............._....... <br /> •................ : t...:.'..�......................_........... ' .' , � <br /> ... <br /> � . ...... •"_............. <br /> ��� � Su erintendent <br /> ----- �_-- c..� <br /> LABOR AND MATERIAL C�SED � <br /> --No. ' Size I <br /> i — <br /> ........................ ........................I Lead Cnnnection Complete <br /> .......................... . . Saddle C:omplele <br /> .,� ..�...................... . <br /> ......:.'.............it.. .I _.'......_......._............::............ Pipc <br /> . . � ...................... <br /> ................_.....................':..-._:'-.._ Scrvice Cock <br /> ......................................'.........�._... Service Box <br /> .. ........................................................................ <br /> .......................... ............................ <br /> • i .................................................................................. <br /> ..........................�......................... <br /> No. Hou� � Labor..............................................Cost........................................... <br /> ......... <br /> Cutin... ........_....PavemenL...................X........................ ........................Sq.Ft. <br /> ....................X........................ „ <br /> ........................ <br /> .._....._.........X........_.............. �� <br /> ........................ <br /> .._._.............X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — --- � ----- <br /> keinarks................................................................................................. `_ <br /> O�a k Comple ed�.._....._.....�................:..:.::...............:..................................... <br /> ................................................................... � <br /> ............................................ <br /> Fureman <br />