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9. J. �RIC9C 3M I� �' � <br />w. p. fORM ] <br />CITY OF EVERETT--Water Dept. <br />� / ,�� � �;. <br />Applicalion No.l�......... .. Date....�'.��.��..� ................19...... <br />� I:istal]_...........�........ .inch water servi:e pipe <br />On � l ,?.1.'��`' � /�.t �L�.._ =-f .C. -�7 / v :................................._.. <br />�,. / <br />"�-r""''''� ,� � `'— �0 � Street <br />- � / t .................... <br />,.zc �.,.��� .. <br />Lot.......................... ................................. Block No..................................... <br />Addition..............�7 ._.......,.�..—.............._.................._............................. <br />ficmarks /%l i �G�c.< <� <br />................... .... ................................................................................. <br />No. ' Size <br />... _ _ ................ ... ........._...... <br />.. _._..._ ............................ <br />_. _._............_fl .................. <br />.. . . ..:........ . . <br />........................ <br />...... <br />...... ... <br />... .... <br />.... _...........,,�:��.��.�...:�-..h,..�.:��c.z/ <br />��� �Superintendent �9 <br />LABOR ATD MATERIAL USED <br />. I Lcad Connection Camplete <br />_ '�, Snddlc Completc <br />_.. . _. _ . ................ _.. _...........................................r i pe <br />. Scrvicc Cock <br />.... Scr:ice IIux <br />� <br />No. Hours Labor._ ............._.._...__................cosc..........._--..................................... <br />Culin.___..__...._PaventcnL.._ ...............X._................_... ......................_Sq.FI. <br />....................X........................ ........................ <br />�. <br />__............X ........................ ........................ <br />�� <br />_....._..........X............_........_ .._ .................... „ <br />Total .............._._._..Sq. Fl. <br />_ — - <br />-- P.emark:,......_ .............................._......._..... ........................_................_...... <br />_ . ................... _ - <br />Order T'ccciced__ ......................... <br />R'or}: Completed.........._..........._. <br />... ......... ............................................... <br />I <br />f <br />Foreman <br />