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a �.1n�uc aM�L 1� L � _ . <br /> M. O. fO9M ] � <br /> C1TY OF' EVERETT--Wat�r Dept. <br /> Applicaticn No._..::..................� Da'.e...............................................19...... <br /> Install..._.._:.....................incl: water servicc pipe <br /> , _- <br /> For .....:............................... .............................................................................. <br /> ' i - � <br /> On ........::.....<............................................:...:._..:'...:.......................... Street <br /> Lot..............�..._-....._---............................... Block No._...----.:.._::...:�--......... <br /> Addilion ................................................................................. <br /> ......................... <br /> Recnarks ..........�..:....:....................................................................................... <br /> : <br /> ,� <br /> ......................:..�......_............._........_........................................................--.. <br /> .............� ....�-....................... .---..................................................................... . <br /> , <br /> . <br /> ( '........:........ : ::..i...!..:......._...:.---�-....................---...�................................... <br /> �_:.. <br /> .........._'................................... ..._.....................�.......:_...... <br /> � Superintendnnt <br /> LABOR AND MATCRIAL USED � <br /> No. � Size_�____ _ <br /> ................._........_..__................._I Lead Conncction Complete <br /> .............__.................................._ ° .^ Complete <br /> ............... ._i i � , <br /> � " ft._�Z................ ,.��..,....i..::_�....................................................Pipc <br /> ' _�':.'y....._........ $etvice Cock <br /> ............................ <br /> ...................�................................ Servicc 73ox <br /> No. ltours I.aber.............................................Cost..................................................-- <br /> Cut in........_..........Paves�ent....................X......._.........._... <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X.............._....... �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tolal ........................Sq.Fi. <br /> -- _._--__.-- __ . ' <br /> � , <br /> Remarks................................... ./.�.......i.�:..:....:.`.4..:.•..r.:.,._::...-�c:.;.....f:u.c�. <br /> � �/ � <br /> ........�:,.._i..n.:�.adn::C..._..._.:.:a.:.l,.�:....._..t.t.:::e:-................................... <br /> .............................................................................................................................. <br /> OrderPcceived............._•--............................................................_..............' <br /> R'ork Cotnplcted....v1.:.:...-:_'...:::.�..:�".....................:r���.l,�..�...:._......� <br /> Foreman <br />