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.�'$/ Z <br /> W. A. fORM� ' � - ' � <br /> CITY OF EVERETI'--Water Deot. <br /> Apulication No..i.._,.:.:'.. _.. ... Date...........:�......!..........................19._'.:: : <br /> Install......_.......................inch water service pipe <br /> For --._:'�i�..:/'...... ...........1�_.....:...:......._..............._..............r.............. <br /> i /� �:.1. `....:_�..:,.. :....:............�::..:/.... Strcet <br /> On .......:..... ..... . ...... <br /> �y.�. z.......-...;i /' � <br /> Lot.........--��.,Z�,,................�................ Block' No.--................................. <br /> :lddition ...._.._......... ......................:......._..................._................................ <br /> � � <br /> Rcmarks ......................................... ....:._.....:.......:....:.........................._......... <br /> ............................................................................................. <br /> _....... ....................................._........................................................... <br /> Superinlendent <br /> LABOR AND MATERIAL USED <br /> —- No.---� Sizc - , -- <br /> ........_...........___._...._........._... ._ Lead Cnnnection ComPlr.le <br /> _...................__.........__............._., S:iddlc Complelc <br /> .._.._..............1:t......................._._ ...._._.._.................._...........__........................Pipe <br /> ..................................................... Scrvicc Coc1: <br /> .............................._...................... Sc:•.•icc IIox <br /> ._.....��..............._I..........._.............. _........._........._...._�............._................_........._...._._..._.............._..._.. <br /> ^�o. I{ours Lsbor._.. ........._.............._.............Cost............._._......................._._...._. <br /> Culin._.. ........_...P:.vemcnt..............._...X........................ .._...................Sq.Ft. <br /> ................. ..1'........................ .� <br /> ........................ <br /> ..........X..........._........... „ <br /> _.... _. .._...._.............. <br /> . . _........._._X.__... .._......... .� <br /> , ........................ <br /> Total ........................Sq.Ft. <br /> ____ ___ -___ _ ._____ _ <br /> Reinarks__..... ....................................__................................................._....... <br /> ............._....__..... .......................................................___.................................. <br /> .............................. ..................................................................... . <br /> ( —.................. <br /> Order2Zeceiced._.........................._.............._.....................�....... ...... <br /> \Vork. Cr,mpleted......_............._. ._ ... . . .___._. . .___._.._._...._ . __.. _. <br /> Foreman <br />