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w. o. ronH � � V �O _ / ,� `, � �' � <br />CITY C�F EVERETT--Water Dept. <br />c<<•: i. , <br />�App]icalio:� No....�.�.� � � 1 0_ <br />..•.... Pate .................................__...........19...... <br />� y� ):... ( L ..... ................... .incn water service pipe <br />,. I:�s'a]} <br />, � <br />For _. ...r...... / / . . .... .....:��i_�...�.:_� ................................... ..... <br />i � <br />... <br />On....:.J.../_ l?..��.'............_�3l :............................._...................... Street <br />Lol.......................................... ............ Block No..................................... <br />...--- <br />Addition................................................................._._................................... <br />Rcmarks ........--.---- <br />................................................. <br />Superintendent <br />LABOH AND MATF.RIAL USED <br />No. i Size 1 <br />..........................1_...._......._...._ ...j Lcad Conacction Complete <br />......................._..................._..._.- :addleComnlete <br />......__............ �t ............................ .........................................................._.........Bipe <br />..................................................._. Scrvicc Cocic <br />.........................................__....... Scr�icc Box <br />No. Hours L�bor ..............................................Cost.................................................... <br />Ciotin ....................Pav�,ment....................X....................... ....................__Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................a........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Fl. <br />-- — - --_ <br />P.emarks ...................._- - <br />......_ ............._................................................. ............................_............... / <br />Order?tecei�•ed ................................................................................................/ <br />`,t+or}: Complcted_ ...................._......................... <br />.__......_........ ...___.._... <br />Forcman <br />