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- ! 6 /0 � - � ; t � <br /> w. o. rosw � <br /> CITY OF EVERETT--Water Dept. <br /> oC _ <br /> Application No.�G.�...... .._ y ate.........�..)��.,;_:._r..'.................19_(.y <br /> ; Install..__- ��inch watQr service pipe <br /> �..�/.` ..,-. C � <br /> For ......� .� F�.l'-c-:.................. „ . � c........C....._t:�:::G<...�......._ <br /> =- / , �• _—' _ <br /> On .................!.l...S.!...�`:..�.././G�' �k=f. f,:r.�a::�.�_;((:.::..:........ Street <br /> � i. .......---�} <br /> Lot......................�.................................. Block No.�.�_::t.�'�....�1 <br /> Addition '✓--f,rf��� <br /> .............................................�:...........................L...:.......:............. .. <br /> Remarks s��.�Y i <�c-�1....... ....c%.."' �C•��� J„,�,� <br /> _.......... . .... ..... <br /> ..�........... ._--..=... --- <br /> , , <br /> -.................................................... .._.�rG..av........................--��----................. <br /> - � � . ! '"S . Ti C ?�:L <br /> .....:................ .........:..:................l�s .........`..��.y/..G..........""....................."" <br /> ' ' C �, � <br /> .....>... . ' S v"i,."p.....""'............./�-...........�................»..._.......... <br /> f:: .�.......... ..... <br /> ..,>.. .. .�: ..... . �..:::..�_��iz- ...1-'.--:.;��.�., <br /> �,�.t f:. --a............................ . .........t __............. r ., <br /> � � i+J�uperintendent <br /> �>. � /%� %i7=- <br /> LABOR AND MATERiAL USED <br /> No. Size <br /> � <br /> ................._....................._............ :.ead Connection Complete <br /> ....................................._............... Saddle Camplete <br /> .......................ft............................ ........................................................................Pipc <br /> ...................................................... Service Cock <br /> ...................................................... Service I3ox <br /> No. How•s Labur.............................................Cost.......................................---.......... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ' ....................X....................... �� <br /> . ........................ <br /> ....................X ...................... '� � <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> - — --------- -- <br /> Remarks........:........................................................................................... ........ <br /> .......................................... ............................. ' <br /> ...:.......................................... <br /> ............................:................................................................................................ <br /> OrderReceived..... .................................................;................... .................. <br /> \Vork Cmnpleted.:.......'...'...:...:.:_:............._..:.:;�.....:.......:....:..:............. ...... <br /> Forem�n <br />