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VJ�UpF imJ' �55�' C" • • <br />CITY OF� EVERETT--Water Dept. <br />, <br />Application No ..........::............. Date.........:.......... �... _�.:.._!:...........19.:.'... � <br />Install ................_:•_-�....-.-inch water service pipe <br />� <br />Far . . ...................... .....-- -....... --........ <br />_ -..._.......... ..�._ ............._..... _. <br />...../...'..._L..� ........:...........:.....:.........:.....:..::::..:......... Street <br />Ou .............. ., <br />1 kN '-� ' ... <br />Lot............i.:....:.... J ......................... <br />/ <br />Addition -............ <br />..................... . <br />Remarks................_,1................. <br />'( <br />_ ............ ...._.._.. <br />Boc o...... � '-- . ................. <br />� <br />__ .__ _ .................._.... <br />......................._._..............................._...... ; ' - <br />........................ . ....................._. <br />� ........ . .................::.::..................... <br />�----�����"�-" � ' Superintendent <br />_ �, — <br />LABOR AND MATERIAL USED � <br />No. <br />Sia.c <br />--- <br />---- <br />...................._.I Lcad Connection Complete <br />,__._ .............._., Saddlc Complete <br />�, , � � ._ ...............PiPc <br />, ._.........5.:..1^......�... :..0 ..::......:..... <br />.... .: ........... _. <br />_' <br />!_,,.�.� ............... Service Cock ' <br />.� ..................... Scrvice Box . ; . � <br />///��� � . �i, <br />i, , <br />� ' . ,- � �c,....:`.�_��..+.�:......_......� ........................... <br />...: �.......__...... <br />_ �_ �_�.... .tl....y-+ 5........,... <br />. ._...... ..._ ........:....... �_.........................................................._......._................. <br />/, c 7�. <br />No. liours L��bor ........................................:..:.Cost................................................ <br />, ........................59. Fl. <br />Culm........._........P�rcment....._ .............X....................... �� <br />.....................___._. <br />J �� <br />....................X........................ ....._.................. <br />,i � "� ,� <br />� - .14 r ..........._.......x ........................ ........................ <br />/ / ., ?� ��� Total ...._ ..................Sq. Fl. <br />-- ---- — <br />Remarks. _ ................................................................................-..............._.... <br />................... ...... <br />_._ . ............._...__........ <br />_ ..............._. ............................ <br />. ..........._ ........._.. <br />__._ .............: ...........,i <br />Order Hecerve ..... � . <br />_........ . .i : <br />� - . .. � ^.,...n i,./i , r <br />"_ . . ., .. .l..^. ........"'_ <br />.!.i_l...... C.. ... <br />\t nrk Com��leted .:..: ...........:...... ---.............. �. Forem2n <br />