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- �-3 � s -� - � <br />9. J��PIiBI !M <br />W. O. f09w p <br />CITY OF EVERETT--Water Dept. <br />,t� -, , . - �,.; - ,-, ; - : <br />Application No.:r�.�,r�stalL.���':Date.....�...`.�ch water :..........19.:.'. ' <br />. service pipe <br />For.........._ ............. ....._......---•-,.,...... _.-_:...:.......................... ......... <br />�J� �. - , °'--- .. <br />��C� ('� cS ,� /-=' .. �J� <br />i. <br />On. � _........_'._�'-�--..:...- :.............. Street <br />............:.:...... ........................... . . <br />Lot................................................. .......... Block No..................................... <br />Addition...................�":...:J.............................../,........................................ <br />i / <br />Remarks ._......._....._:..�_�....: �: �:':(_.::.:..'....1 .. ..........._........................._... <br />- �r_"..-�-`= � . .......................E...........................................---• <br />� <br />, ,-_ .iYI.E" � . � <br />J <br />GABOR AND MA RIAL USED <br />Lead Connec+ion Complete <br />Saddle Complete <br />�I • � <br />.. i..: �f .,..',:.. � ......................................................P i De <br />Scrvice Cock <br />Ser.ice Box <br />................................................................................ <br />..... ..................................................... . ..................... <br />.......................... .................................................. <br />................................................................................ <br />No. Aours Labor ..............................................Cost.................................................... <br />Cutin......_............Pavement ....................X......._....._........ ........._.........._.Sq.Ft. <br />. ....................X........................ ........................ <br />.� <br />....................X........................ ,� <br />........................ <br />....................X........................ ........................ ,� <br />Total ....................._.Sq. Ft. <br />------- <br />Remarks. _ .....................................................:......:. ................................._........ <br />.....................................................................:...........:........................................ / <br />OrderRecei�•ed ......................................................... :.................................. � <br />1Vork Completed.�.:!....�.:1....::c...::._ .............................. ....�.::..'._:..::....... ' <br />Foreman <br />