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w. o.�iosw�a�11� O � t - . ��/rf 7� <br /> CITY OF EVERETT--Water Dept. <br /> ,/.2e :tj a�., <br /> Application No.....� Date ........_Y.✓J.�',s ....`-'......19,.5...`� <br /> � „ " <br /> � In�stull...........`�y........inch ter service pipe <br /> /' ' ' � <br /> For -�:L:L _��, � ��cc r���^{:-� • ....---•- <br /> ............ .....�...�..,...... ..... .. ... <br /> �:� e� - � ��; <br /> Gn ...................................._ ..c'C�L4�z.::....................^..-...... Street <br /> ' o� <br /> Lot................................��..._......_....... lock No......................---........ <br /> . .... <br /> / <br /> Addition ...................�.....�:.':�.............�.;:�,'.�..�Z.1........................_. <br /> Remarks ...............................................................`�................. .......... <br /> ,......y <br /> . ., l �Y u rt; <br /> ................._...........,�..a..:....t�c..b:..S.......�:a.t..s:c....... ...Y....o-.'t.�._... <br /> .............................._....................................,............... � <br /> ' �: � . , . ..�..�..../........_......... .--�- <br /> y':. vf•i'- <br /> n / i �/.CL' 1 ..... .T .�1. <br /> ................... .. .. .� f <br /> __ ___ <br /> ...n 6-i......... .. z ..:........_ . <br /> C�.. .......`. <br /> _._...__._�`..�.r....hral..... .........'�..............._"..._. .......:..�.:........��.�r+t�LJ <br /> � �/�/� Su rintendent � <br /> � <br /> - -- —✓ <br /> LABOR AND MATF.RIAL U9ED <br /> No. I Size � _ — <br /> ... ..................._.. ................. Lcad Connectiun Camplele <br /> ...................................................... Saddle CmnPletc <br /> . .� ,_._: ���,..................................._...._.Pipe <br /> ................l..::St._......::............_... ..._.....,.........w_.. <br /> ......................<..............:....._....... ScrSice-Cock <br /> ................................L.__.._........... Servicc Boz <br /> No. I�ours Lsbor..............................................Cost..............._................................... <br /> Cutin....................Pavcment.......... .........X......._............... ........................Sq.Ft. <br /> _ � „ <br /> . ; �., . : ................... ........................ ........................ <br /> . . , <br /> :.. �� <br /> � ....................X....................... ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -------------- � — - <br /> Remarlcs............................._�....!_.::..:...............,...:_.......�:..;.........::r�,.:......... <br /> ., <br /> . .......�.....:.:.�_....o� <br /> ... ..............................................."":.. �........................................ <br /> .................................. ........................................................................................... <br /> OC(I0C I:CCC'1�'CCI.........._........._............_...................._,_.:""..........................._. <br /> ��'OT}�: COIII��BtC'C�.::.:............�....:.......................`[_::�....�::.-��Gx................ / <br /> Fareman <br />