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I3r51 � � ��_�::�� <br />B. J. PqlfeC 9M <br />W. U. IONM ] <br />CI�I Y OF EVERETT--Water Dept. <br />,. a �� / j <br />Application No.......:...`r:.'.'.`.'...` Date........... ::�%�t_...1 .................19�!:�� <br />Install ........................ ��inch water service pipe <br />For......._ ......................._...../...�.....i......... . ................................._............... <br />On ......n.'1'l".�.�-.......I.,..Y.2:�.C...;l� ................................ Street <br />,�'" ; : '� :. <br />Lot...............:...:......-�........................... � -. Block No.....................-�---........... <br />Ad�lition ......................................................................................................... <br />Rc:marks ......................................................................................................... <br />--�--- - - -- Superintendent <br />-- �— — <br />LABOR AI�D MATERiAL USED <br />...................................._...............I :.cad Connection Completc <br />...................................................... Saddlc Coniplele <br />...._ .................it............................ .................. _..._.............._........... <br />......................._.. _........... ............. Scrvice Cock <br />.. . _._ .................... Service Box <br />Vo. Hours I.�bor._ ..............................._..........Cost..................._.........................._.. <br />Cutin_ ..............._.Pavemenl._.................X_...................... ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />. ,. <br />........ _ _.... _ _ a _ ...................... ........... _........ _. <br />_......__........X..._ ................... �� <br />........................ <br />Total ........................Sq. Ft. <br />-- --- ----- <br />Remarks_ .............................._............... ........._..........................................._ <br />_.... _.. _.. . .. _ _ ....................................... ...... _............... ........ _....................... <br />........................................................................................................................... <br />Order?teceiced..__ .............._........._._...._..........................................._....._ ( <br />�Vork Completed........_ ......................................... ..__.. ._ ._.._ ................. <br />Foreman <br />