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e. �. ra�rni vu� 9 3 3 R/ r <br />w. n.r��Ha <br />CITY OF EVERETT--Water Dept. <br />, <br />Application No:.,.'...._.:,..:....:.� Date........a:.........�...:..:..-----•- -.....19..:. � <br />Install..._..r ......................inch water service pipe <br />For ............................................. -----..._.......... <br />...................................... <br />� � -- <br />�On ........._.: � ` , � -- - -- .............. Strect <br />...,........ s,. . <br />l ' <br />Lo t .. ................................ <br />Addition ................:^.. <br />!�.emerks ............L....:. <br />.................. Block <br />.......................... ..... <br />................---..:_..:::.............._............................................__..........---�-- .... <br />_ .:...........:_......._....................---....................._--......................... ---•---......._... <br />; <br />i, <br />; ............._........--�--......1........�..._.-•- --......._. <br />_ _ ........................._........................ , <br />� �� <br />................_.:...>..................._._'...: .-•--...._:.. <br />_.........._....� ................� --_........ <br />� . Superintendent <br />! � <br />LAEOR ANU MATCRIAL L'S6b <br />--No. _i Sizc —�.--- --�-- -- -- <br />........ <br />...................................._._._..I Lcad CnnneMion Complete <br />. .....___.........._._ Saddle Complete <br />.......................... . <br />...............�u�.ft.......�i.............. .. C01.,/.�..tcL......................_.............. _...... _Pipe <br />v <br />....................�_........_�.�.Z..........._ Service Cock <br />.....................%........�n�..�..r....... Service Box <br />No. H�,ur; Labor ..............................................Los[.................................................... <br />Cut.n..__....._...___Pavement ....................X......._............... ........................Sq.Ft. <br />....................X........................ ........................ <br />,� <br />....................X..............._....... ........................ <br />�� <br />....................X........................ ............. <br />....__... �� <br />Tolal .._ .................._Sq. Ft. <br />--------- - � , <br />Z '�- ff.' �:...r.,.:.......r,.t..«........ <br />Remarks............................../._--�-�- �-�; �-',' -�--'1:.. .. <br />, , _. <br />... _.........._ .............................r1..S:G �........:�.s.t:Q.�s.........J..:::t.-i . L.:x:.:......... <br />.........................................................................................."'............................"..' <br />Order Pemived .................................... ...:................ ............................... <br />. . <br />/ , /_/.-;� <br />\Vor}: Completed,5,%J.��.,r .:................................l.' .;.,..�.�.::.4.`...... <br />Foreman <br />