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S J.Pri��T� 8 8 '�' • <br /> W.D.Va <br /> CITY OF EVERETT--Water Dept. <br /> Apnlication No..�.�.I1...Q... D�jte...............y�,�:...:._/.........._19.�J� <br /> Install...._t'1.�.............inch water ser-✓ice pipe <br /> �-..,, �.' .-r- <br /> Por .......!.!!r.1V......... ..::::.... ....:....�.....:.:..:.s..:....................................... <br /> � 1 � �'-c.�' .�.:.!.,,�.../.............................. Street <br /> On .............I.�,.... ,......... f:.... ._.. <br /> Lcf............................................................. Block No..--�-�-�----........................ <br /> Addition ................................................. .............:..•-... <br /> ............................ - <br /> � <br /> � — � � �.. o • --.-' �� ..� <br /> i <br /> 3 i , <br /> Rem1arks ....�.:_L::.:: :.:..:t:a:...�...::.........:_......:....:....�..t...::..---.......:.:......... <br /> _....�,[.?.......:f'....._j.f�!._:.................................................:..............---....:.......... <br /> ... ..... ........................................................................................................... <br /> �„ �._.. .::Il.f},}:t•_:.....f...�............................................�.....;......, <br /> ,�..��. .. � ��+......................................._SuPerintende..:.:. � : <br /> b ' <br /> nt <br /> V LABOR AND MATERIAL USED ' <br /> No. Size ___ <br /> ------ ..........��— <br /> .................................. Lcod Connection Complete <br /> . Sadd e Complete ' <br /> ......�.>..........................�-�............... , <br /> .J..............ft........�.yC-..._._. ......i..G��L.tt.�.:(.�Q�............Pipe <br /> !( �.........T............ <br /> Scrv�c C ck <br /> ........................... �1 <br /> �........ ...V...{...:............ :CCVICC BOX <br /> _�..':...,�._.......lC.!........... ............_........_....._.........._........_............._....._............_......._............ <br /> Ivo. Hours LaUor..............................................Cost.........................................---........ <br /> Cutin.............. __Favement..............._..X....._................. ..._................._Sq.Fl. <br /> ....................X........................ ,� <br /> ........................ <br /> .................... ' <br /> �........................ ........................ <br /> ....................X.._._................. ..._................._ �� <br /> Total ........................54.Ft. <br /> -- --- <br /> ---_ — <br /> Remarks.. ...................... <br /> .. ......_..............................................._...._...._._... . <br /> _ . ._ ......_.. ..._.. ........................................_..................._..............--............... ; <br /> __... -...._......._.........................................._......_..........................- .............. <br /> LrC�CT ?CCCIVBC'�.. ....................._......�..........................r ......._........._....... <br /> \�orlc Cnmpleted....._..._.................(:.�:-.-.:_..:�. f 'J�"t-.f-4':_.... <br /> :...�........ <br /> Foreman <br />