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W. D. �ORM��� �� _ . <br />� CITY OF EVERET3'--Water <br />i .,70 (,- n <br />Dept. <br />Application No..�,'l. �:'1.. J.. Date......._:f..:..� ..........................19_� � <br />� // �. : / 'nch water service pipe <br />For ....::i�J�`.:t.;.- _�st `.:.. ... r:..l,s;:./r,::.l .....:..................................... <br />On ...........f....:.x........! .:............ �.r: .....-.J �.�� . <br />� . . � , � .............................. Street <br />Lot.............................................................. Block No.....---................---.......... <br />.9ddition .......................................................................................................... <br />Remarks ..............................;..:............................ . . .. . . <br />................... .. <br />.. . .... .. ..... <br />/7 ,�.-�i. ' � <br />...............................................�....�_..r..c...:= :a_..!...._.t.z.: :......................---......... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. i Size I <br />Lead Connection Complele <br />Saddlc Complelc <br />........................................................................Pipe <br />Scrvicc Cock <br />Ser:ice IIux <br />No. Iiours Labor ..............................................Cosl.................................................... <br />Cutin ....................Yavement....................X........................ ........................Sq.FI. <br />....................X........................ .� <br />........................ <br />....................X........................ �� <br />........................ <br />.................... X... _.......---... _.. .� <br />.. ........................ <br />Total .__ ............._....Sq. Ft. <br />— -----------'-- - <br />Remark:,...�� ;..,,......,...... ..............._.._._.................._........._..................... <br />_ ..............._(:... �._. �:. � . <br />...�..� ..................................................................... <br />i., //.. <br />Order Recciced ......................................._.... <br />\Vork Complcted ...................................._.... <br />.... _ .......................Fo reman� <br />v <br />