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w. n. rwr+ a _ �W ��� �('/. / i' <br /> CITY OF EVERETT--VJater Dept. <br /> Application No..��:.'�-.�=.•. Date..........._�::...-.%�......................19.<.:-:� <br /> Install...............................inch �vater service pipe <br /> or .................................... .. . .�...........�........................... <br /> ............. <br /> r- 2. � , .�'�Cr�l..��............................. Street <br /> On .....�.�a...�...._�..............�...:.n:.�.'...... ... ^ <br /> Lot........................................`.................._: Block No.................................... <br /> :lddition .......................................................................................................... • <br /> Remarks .......................................................................................................... <br /> .................................................................................................................... <br /> ..................................................................................................................... <br /> -., , , <br /> ; - � : - .......__........._......................................................_....... <br /> ........................................ <br /> ........................... <br /> ...............................................................................................Superinlendent <br /> �LABOR A2r'D TIATFRiAL LISED <br /> No. Siz�—___ <br /> __— , <br /> ._.,....) :.cad Connection Complete <br /> ............................................ . <br /> . Saddlc Completc <br /> ..................................................... <br /> .......................ft............................ ..........._...................................................... <br /> Pipc <br /> .............................._.........._......... Scrvicc Cxk <br /> . ....................... ScrVice Bux <br /> No. Hours I.sbor......................................Cost.................................................... <br /> . <br /> Culin.._........_......Pavemcnt........._.........%........................ ................._.....Sq.FI. <br /> .................. .X........................ ......._......._...... <br /> ,� <br /> ....................X........................ ........................ <br /> ,� <br /> ...................X........................ ..._................... <br /> ,� <br /> Total ._..._. .............59.Ft. <br /> ----------- <br /> Re�nar s......................................... <br /> ................................................................... <br /> ............................................................................................................ <br /> ......................................................................................................................... <br /> OrderReceiced.._............_..._............................._................._...................... <br /> \Vork Complcted............. ......................._..._..__... ......._..........Fareman.. <br />