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w. o. ron.r� ��� � . . , . <br /> CITY OF' EVERETT--Water Dept. <br /> Applicalion A`o.�:_.:..,.' .:`__j. Date..........._�........:' (-. . <br /> _...................19..... ' . <br /> / I�stall..................�......incli water service pipe <br /> For _.)1./..C..e..t,l....�......�:.:. .....!/. <br /> :.. ._<_..,./..:.:............................ <br /> , .; .( _..... <br /> . <br /> On ..........:...:.../.;..._ /.. - ... Street <br /> ,....; ./: ........._......:.�....:.............:::._..... <br /> Lot.............................................................. Block No..................................... <br /> Addition <br /> ..................................:......:.... <br /> ................... ........... <br /> � ............................. <br /> � : <br /> Remarks ....................... ' ......:.<._.....:. ' <br /> --............... ..,,�..._r................................. <br /> ............................................................................................................. <br /> ............................................................................................................... <br /> ............. ................................................................................................... <br /> .............................................................................................................. <br /> Superintendent <br /> LABOR Al`ll MATERIAI. USF.1� <br /> _ No._ Si^e I <br /> �-��-��-��-•--- i :.cad Connectian Complete <br /> . .........__L_ � — <br /> .__...................................__._...._.' S�ddlc Complele <br /> ....__...............ft.l........... .............. .._ .. ...__...................._......__._................Pipe <br /> ..._................_..I.... Scrvice Cock <br /> ........... <br /> ....................._....�......._.............. Ser�ice IIox <br /> ................................... <br /> No. Huw�s L�bor................. ...._........_............Cosl................................................... <br /> Cut in...____. <br /> _ .....1'avemm�t....................X_...................... ....................._.Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ........... ........X........................ .� <br /> ........................ <br /> __.............._X........................ ,� <br /> ........................ <br /> Total ......._...............Sq.Ft. <br /> — --� ----_'-- <br /> ---- <br /> e�n a r ks................................ ....................... <br /> - -- <br /> .................................................... <br /> . ........ .........._........................__........................_.....__..................................... <br /> ___................._.........................................................................__. ..................... <br /> OrderReceived................................................................._... ........ ........ ... <br /> 1Vork Complcted.........._.......___.....__. . . <br /> ___.._.. . ..._................ . .. <br /> Foreman <br />