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S J.�rieb•�l.t1�� / � . �`� '/ <br />W. D.porm ) •• <br />CITY OF EVERETT--Water Uept. <br />;__ _, : <br />� � .:� . <br />Application No....t..L..._.. _...... Date ................... '.� f::l. v--...19: `..J <br />..._,... : ' <br />Install........_�.I...:�J.......inch water service pipe <br />_ ��--- <br />For......................:...................:..'...:. '' <br />-•--� ::............_......................... . <br />� ' i � i . ..... ........ <br />On _, � � �, I'r ,,�f�li�.. Street <br />�_ <br />.........--•----- .......................... _ __......._,...:. _ �..::.:. r................. <br />...... <br />Lot.. ...............................� ........--•- .......... Block No......._`.........................--- <br />Addition..............:............................................ <br />.........._..__......_ . <br />. , . �+, .................... <br />Remarks .......:.'.'1 .1.:t.>5:4.1!.'% �:, <br />... _..... ......:......�............Il......:.: x__ ..._ . ! _ , <br />.. .. ............ _ F:......... <br />J ,: �- <br />.................................................................................. � ��� --- �.S':=,ir <br />Superintendent <br />-� i/ <br />- -- � <br />LABOR AND MATERIAL UBED <br />No� I Size <br />...................................................... Lcad Connection Complete <br />.................................................... 3addle Complete <br />.............................................. .........................Fipe <br />Scrvice Cock <br />Servicc Box <br />......... ---------. _ ... <br />No. Hours LaLor.........__..........___..........._.._Cost .......................................... <br />....... <br />Culin ....................Peven�ar.:....................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />...................... .. <br />....................n........................ ........................ ,� <br />_ _ _ ___Total .Sq. Ft. <br />— _. .. __. ....................... <br />',; , ; � - <br />— <br />hemarks..,.�;' .� ..... �........... <br />............. _..........:........._...................................._.... <br />� <br />.................................................................................. .......... .................... <br />Order iccci��ed .......................................:.............. . <br />..............._..... ............... <br />F.'ork Comuleted._ .. _........_.._,.. <br />. ......... _ .. ............. ..... .................... ........... <br />For ian <br />