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w. o. ronw a� � I V I . /// / C / V <br />CITY OF EVERETT--Water Dept. <br />Q � z.,! . , . <br />ilppl�catiomNo...L.�.�._�$�� Date.........._..:......'."P ....................19...... <br />Install..,.., . incl� water service pipe <br />� _ ,. <br />............ . <br />- � <br />. <br />Ci .(,,;L.--� t. <br />For� .>.,: �n�........_.�..._ :.................................................Street <br />. ._ ............... <br />I <br />o�� ......::.. � ..:.......... .... ................................ <br />..... ... ................. <br />r.�i _ _--- ................... Block Na.................................... <br />:ldilition .......................................................................................................... <br />Rcmarks.......................................................................................................... <br />....................... .............................................................................................. <br />__......_ ......_ ........_........_ .................................................................................. <br />...... .......................... ...................................................................................... <br />.. .......-- <br />............................ ................. .................................................. SuPcrintendent <br />LABOft Ai�D MATERIAL USED <br />No. <br />......................... <br />.................. ...... <br />I :.ead Conneclion Complete <br />..... . Saddlc Complelc <br />._..._. ...._._ ............................._................. ......._.....Pipe <br />_....... Scrvicc Cork <br />......... Scrvice Box <br />. � ................................................... <br />No. :iow�s L�Sor_` .. ....................................Cosl......................._........................... <br />Cutin ....................Pavcrocrt._.._.............X............_.......... ......................_Sq.Ft. <br />....................X........................ �� <br />........................ <br />.............. _.... X _ _.................... ........................ <br />�� <br />....................X. _.................. .. ... _................... <br />„ <br />Tatal .................._....Sq. Ft. <br />--�_{----- -- ' <br />Pemarks._ .......................................................... _.__........................ <br />_ ...._........_...._ ......_.._ ................ ...................... ................................... <br />OrderReceiced ...................................._..........................................._.........._� <br />\Vork Completed ................ ..__............_............_......_.......... <br />..................... <br />Foreman <br />