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, r <br />a. �. raicec � 3 9 4� <br />M'. O. fORM ] <br />CITY OF <br />O,' / j /.�'' . <br />EVERETT--Water llept. <br />; � �; .,, f) or, ,,;. <br />� <br />Rpplication No.." .................... Date................................................19...... <br />. <br />lnstall ...............................inch water service pipe <br />'/, .. ,. ; ,_� <br />For ...........:.............�_.......:....:....:......................................... --.......................... <br />On .............._.....�`...j....:!......:l:?G.:.�::....:......:....:{............................... Street <br />Lot.:� 7ah...Cyu./(�:/ i r�: .._i7h �J.... Block No .................................... <br />Addition ---........ ' <br />� _� .............................................:�. . . . <br />� � i r <br />.............. ......... .. <br />_ <br />. <br />Remarks c ` 6 ( j F � !-�15....1::.?. �: �C...�_S._�(.'� ; " ' <br />..................... L ...................... .. ... ..... � ........ <br />............................................. .................................................................... . ....... <br />" � Superintendent <br />� � <br />LABOR AND MATERIAL USED <br />.............................................._...... Lcad Connection Complete � . �/,' `� <br />...................................................... Saddle Complete � � , . , �. �� � ,'�. � " � . <br />i <br />.......................f t. ....................... ... ........................................................................Pi.,., <br />..................................................... Servicc Cock <br />. .. ..._.._....._,...---.. Sercice Box <br />No. Hours Labor .............................................Cost..............................................--��-- <br />Cutin ....................Favcmenl....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />Tolal ........................Sq. Ft. <br />_ ------------ <br />Re�na rks ................................................................................ ............................ <br />� ' ,� %/�.; � ,. �� ��r�'v: << ��., <br />-. <br />..e � '�- r r....../ .................. ...:I......._ � ../.... <br />.... .............. ... ......................._..............:. <br />............................................................................................................. ......... <br />OrderReceiced ...................................................................................... ...... <br />\Vork Completed ........................................................................................... <br />Foreman <br />