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L i PF�tlt ]M��S� � O � • . . � . ' � <br /> W. O.IOqM O . . . <br /> CITY OF EVERETT--Water Dept. <br /> , , ,, _ ., . <br /> Applicalion No....:..'...'........... Date......................._:......................19:�.._ <br /> Install...............................inch water service pipe <br /> "_"_--- <br /> For ...................'.......................:....................... <br /> ..._......_......................:............. <br /> :- <br /> Un ..............!:1:.�../_1:...:i.:......._..._:........:..:�....:.......:..:.....::._'............ Street <br /> Lot.............................................. .............. Block No..................................... <br /> _.�. <br /> Ad�lition ................:............_...:...................................................................... <br /> Remnrks .................._...._. ..............._- <br /> ...................................... / <br /> . ..........._'..............._:...................._ ...:..:............... <br /> ............................:................. <br /> ........................__..... ............................. ...........----.................................----- <br /> .................:..................._.........................__............_.....,...._..........�,............... <br /> . : <br /> ....._`....�,._...................._................................. <br /> .:............. ........................_... <br /> _ / �.�� � � 3uperfntendent <br /> , LABOR AND MATERIAL A3ED <br /> No, I Size I __ <br /> ...................................................... <br /> Lcad Connection Complete <br /> . Saddic Cmnpletc <br /> ..... .............................................. <br /> ..... .........._...ft.........'_ ......_..:.....:.:.:m............................................... iPc <br /> ................. <br /> ......_................._......:.:................. Servica Cock <br /> ........................... <br /> .....:..................... Servicc Box <br /> A'u. How�s La1.or..............................................Cost................................................... <br /> Cutin..........._.......Pavement_..................X......._............... .......................Sq.Fi. <br /> ....................Y...._........._.......... . ...._............... <br /> �� <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ..._.................. <br /> �� <br /> Total ........................Sq.Fl. <br /> —_'—_ <br /> _--—_ _ <br /> .�...:.........:.........................................:................. <br /> R e m a rks......._............................. <br /> _._..._........... ......................._..:.....:....................._............................................_.. <br /> - <br /> ...................................................................................................................... <br /> OrderPeceived.................................................... ............................ I <br /> lVor�: Completed.......................... _ .........--..........._.... <br /> ........... <br /> ���� Foreman <br />