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02 � . _ <br />a ..:'rni[et aw s� �. <br />w. o. ronq a <br />CITY OF EVERETT--Water Dept. <br />Application No.. �� ''� `'l �— � '� � �� <br />................c.. �Date......1...............c.r:................19...... <br />Tnstall............_�' ............. .inch water service pipe <br />For........................................ • . .. .................. <br />' � � <br />............ ... ... .� - <br />G,�?�c ti_: r-it r..-�'i......... Street <br />., � i7 <br />On.............. .'.........r`-.............. ..----.......----..._.---.... <br />Lot..._..........._----- ...........................--..... Block No....._.._........................--- <br />Addition..........:...........................,.._.....................:...........�.---...,................. <br />i ... i� J tr: f•'. t 1 � f!t"r i r! .N �� .. <br />/� . <br />emarks.�-1 ..................._ ',."'..... .._........_.. ......"""'_"",".............. <br />rr _..:....(L..`_.:.`..l'� �.LLJ '...�'��.� :_f .�,- <br />(� <br />.................................................................. .. ...........:: . <br />U� r/ � .. ............. ..................... <br />.._..._.. _ .... ..................................�.' :E! - �_-.-/�„�r'_�._?::.'...C_.,........_ _....... <br />� � � superintenaeat <br />� i <br />` �l -- <br />LABOR AND MATERIAL <br />_ No. Size —�--- <br />.................... .... ................. Lead Conncetion Complete <br />.................................:..... . . Saddle Complete i <br />� ., <br />�� /i r r . <br />�-� %' ........._`::.::.e:.a:.....:- :............Pi e <br />.........�......._ft ........................._ ........................ . P <br />....................................... ............ Service Cock <br />...................................................... Se:vice Box <br />No. Haurs Labor ..............................................t;ost.................................................... <br />Cutin ....................Pavemenl....................X......._............... ........................Sq. Ft. <br />....................X..............._....... �� <br />........................ <br />....................X........................ .� <br />........................ <br />v �� <br />Total ........................Sq. Ft. <br />-------'---- <br />Rem arks .................................................................... .................................... <br />OrderPcceivcd ............../................................_...............,..::::..._/_.,............ <br />1Vork Completed....Z1.<:..>� �r�.:.........._ ............._..G.:.:`.r.:�:_l...r.'.'r.+.:.:..� <br />Foreman � <br />