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. •W.D.Form> >an n-ia:� <br /> CITY OF EVERETT••-Water Dept. <br /> APPlication No. _ �5 7 3 Dare... �. ° /� 192.�±.._ <br /> � / � Install ��. �� - _inch watcr scrvice pipe <br /> /V-V- <br /> For _ ._ _. . • <br /> � �.2....�5. . _ .._ _.... _......Streec <br /> On __....__ _._.... _.. <br /> Lot......._................._..__........ ._._ Block No......... . _ _ ... ..__... ...... _ . <br /> AddiNon.._........ <br /> _..........._ ...._. .._ ..................._._ . _.... _.... <br /> Remarks ....._..................................._...___................ <br /> _ _........... ...................._. <br /> __ . ...._..._..__....__........._....._......__._ . .. ,._. ......... ................ ..._............... <br /> ..... _ <br /> _ _ __.. <br /> _......... _ ___ <br /> ..�° `�i_.. ,}� �� u-/yfi <br /> Su Int�nJe'//'"-- . <br /> V <br /> --_._,_-_____-____,-.---_-___ . <br /> -.--_: --__ ._ _ _ __-__ <br /> � " LABOR AND :1fA7'ERIAL GSf•:U - <br /> . .- - ---- ._ __ . . - <br /> No. i Size .... ..-- <br /> . . _ _ i ._ - �- -- � <br /> — - �� ------ -- <br /> - - --- <br /> ....,.,,._/,.,,.,, , '.,,,tr . 0� �t) I.ead Connection Complete <br /> ./....... � z..t.J' . . Saddle C,qmPle`e � <br /> �- ..":7.rt.er�..... ....... . ...._.Pipe <br /> .......!..... <br /> _.SL y , <br /> , y ,. <br /> ..........�................ . ar.... ....._. Scrvice Cock . <br /> ......../..............._�_C¢-z�..Ci.... . nervice Box • <br /> ' .................................................................. <br /> ................_........I..................... . .. .. ........... ............................. <br /> . . . . . .. ._.. <br /> ................. .. ... ..... _ .. . . .. <br /> __ __' <br /> _ _'__ __ . _.� ->> __- <br /> / ��T <br /> b � Cost.........'........._....__..............._...__. . <br /> No. Ilours I.abor................................._..... <br /> ..._.....i'nvement......._..........X....................... .._.._......,....Sq. Ft. <br /> Cut in............-r � <br /> .................:..X........................ .................... ' <br /> ....................X....................... ............. ...... <br /> „ <br /> ....................X....................... ........... <br /> _... „ <br /> Totnl ....................Sq. I�'t. <br /> . .-_' --=- . �_ .. _. -- .. <br /> . _-._ .. . _ . _-- - <br /> � -- - �-� - � . . <br /> ! <br /> Remarks .���t�nxl $(hP N�•-- ` �B ,-!" ��-•,* . <br /> . �� (� . .��v�C J _.1'�.f<T!-L1G..._.__. <br /> �r/..� r( R-J�.0 [ 7a� .. 71 _. <br /> __. .___.__. <br /> .. .. . .. � _ . / .__ .. .._. ......./ <br /> C)rdcr Kcccivcd _ /�'�� , , <br /> VG'ork Complcred ��r . � 1�.:2.t-��, <br /> rF .�,.� c� <br />