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�J. .1. PNICf1C�J g � 3 " . , <br /> w. O. IORM <br /> CITY OF EVERETT--Water Dept. <br /> , ., <br /> �Ec ;� asep <br /> Application Na..r...�..,a .)__. Date......................_................. .._.19...... <br /> install.._....................._....inch water service pipe <br /> -. .- � I � � � . . <br /> F��• ._...:.......�.::::.....,...1..�.......4.L...,.,.:.:....c................................................... <br /> � - 1 < , � <br /> On ...... ....:.-'..::..{-...1:..�: �_i.....:.:.. :.:'..:T:._....L'..::................. Street <br /> f�.. <br /> Lot........ ..._. _._....................�................_. Block No..................................... <br /> Addition ..._..._-...................................................._....................................... <br /> Remarks ......................................................................... .............................. <br /> ....................................................................................................................... <br /> ......................................................................... ................ <br /> ................................................................................................................ <br /> _._._.._..................._........................................................._................... ....._....... <br /> � 1 � Superintendent <br /> / <br /> LABOR A\D 11fATERIAL USED <br /> No. i Sizc � ___ __ <br /> —___ —_—r_.— _ — <br /> ._.......................�........._.......__.....I Lca.: :�nnection Complcle � . . : . . ;,, <br /> ._....................... ......................._. SnddleCompletc ; �, !, �% ',: .. <br /> ..___...............tt............................ .............._......._............._�.....................__._...PiPc <br /> .._ .........................._..................... Servicc Cock <br /> ._._............................................... Scr-.•ice Box <br /> ..................................................... ..................... ............. ... <br /> ........................... ...._....................� ..._................._......_..........__..._............................................................. <br /> No. Hours LaUor.. ......._.__.............................Cosl .............................................._... <br /> Cutin.._......... ......Pavemm�t_..................X........................ ..._..................Sq.Fl. <br /> ....................Y........................ �� <br /> ........................ <br /> ....._..........._X..__.................. ,� <br /> ........................ <br /> .._..........._..X..._................... „ <br /> . ........................ <br /> Total ._............... ....Sq.Ft. <br /> —.---_____—___ <br /> R�na�s............................................................................................................. <br /> <=,. ....-..... ...o..��.�...........F r a.��................ .T..z P.L..........__.................. <br /> .................................. .................................................................`.............. <br /> Order ??eccieed._...._............................................................... ......... ........ <br /> \Vork Complcted_._........_ ..........__... .___.......... . .. .. . ...... . <br /> Forcman <br />