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\ <br />:� J.7riebe1M1:16:9iM1`� g�{ � �-, ✓ � . <br />�V. D. Fotm J ' I <br />CITY Or EVERETT-.Water Dept. <br />Application No._� � � � � � �"7 <br />� �L ��ate._....✓.......'........./......�..........- 19_'::. , <br />Instnll...._....}:...:...'..........ir.ch water service pipe <br />For............ ............... .... .......... .. ... ..{.......... ......................... .................... <br />'7 ' <br />On ................. ��l...l............��s..::<<5{.......... .... Street <br />.............� <br />........... <br />Lot................_...��`....._._............................ Blocic No.�............---.............. <br />Atidition � <br />................. ..... ...... .... ......................... <br />� ' .......... . - <br />/ -- <br />Remarks ....................... / � �- � � � <br />........ ........... ... . <br />y.... .....................:::-� .N.. _..---......---.............. <br />......._ ....................................................................: :............. � / <br />:� �. ......:-...:' :.::..........................................._\l. � , f (.;�.:...f.....1�..... <br />. ..............:......:.... �....... <br />" � — "� • l .—� . <br />/..........�..... �<_ ......................... ; <br />....... � � � <br />='i; ��'1 . ..................................__. <br />Superin Lmderl <br />LABOR AND MATERIAL USED <br />...............-.....................................I Lmd Connection Complete <br />......................................................i Saddle ComPlete � <br />...........3.,�......ft..........� '� .............�...... .........................Pipe <br />3 .............. ...... .............. <br />� Scrvicc Co <br />......... .......1........... <br />.. <br />/i �...........Q.... <br />............1 .................:........�.......:.. Scy•vicc sox <br />....... ...........i.............. G(—cC--a . � .��2, � <br />�v�� ............. ............................. .......�.......... �... <br />I ., <br />� ...................... ...... <br />................_I...................... �'7./....... .........\.., c77.-2:.L�.... _:.}........L................ <br />�y ......... .. ...... ....'........ . {�� '�................... <br />No. Hours LaUar .........................................`�..Cost..J..�:!� �................................. <br />Culin ....................Pavement....................X........................ .......................Sq. Ft. <br />� • ....................X........................ ........ „ <br />� <br />� r � J ................ <br />i.�,'� ���� ....................�..._�..... <br />............. .� <br />) �� . ......................" <br />_,, <br />; ..._....... _X ....................._ �� <br />................ <br />Total ...._...........__...Sq. Ft. <br />—.----- <br />Rer.�a rks ................................................................. <br />............................................ <br />............................................................................................................................. <br />OrderPeceived ................................................................... <br />............................ <br />l�'ork Completed ..............................................................................__.......... <br />Foremnn <br />