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s <br /> / � ��� ✓�/ � <br /> w. �. IOIM 3�� ' <br /> CITY OF EVERETT--Water. Dept. <br /> .. ..........is::::3 <br /> Application No..L...-�.'...:�.�`... Date.......................... .... .. . .. <br /> 17s:a11...............................inch water service pipe <br /> .... <br /> For .................................... <br /> ........ ........................................................ <br /> On .............�:..cl.:../...�....0�:.;:��:.:��d.............................. Street <br /> Lot............................................................. Block No..........--•---••-.................. <br /> Addition ............. _......................................... <br /> ....................................... <br /> Pemarks .......................................................................................................... <br /> .......................[ls::_.�:I�:�s...,............................................................. <br /> ......................................................................................... <br /> ... ........................................................................................ <br /> .......................... ................_........... <br /> � '"-""""���� � � Superintendent <br /> .............................................. <br /> LABOR AND MATERiAL USED <br /> No. ' Size 1 __ <br /> _- � <br /> ................................................ <br /> _.....I Lead Connectiou Complete <br /> ..................................................... <br /> . Saddle Complete <br /> il............................ ......................................................................PiPe <br /> ...................... . . <br /> Scrvice Cock <br /> ....._..........................._.................. Scrvice Box <br /> .......................... <br /> . ............................................................................................................... <br /> .....�......_�..._..... ........�.�.._.... ..._......._�......_�.........�.........._...._......._.._.._................._...__....../.._... <br /> ._._.._.......No. How•s Laboc........_........... <br /> ........................Cost.................................................. <br /> Cutia................_Pavemcnl........_..........X................._.._.. ......................_Sq.Ft. <br /> ....................X........................ ........................ <br /> „ <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ <br /> ........................ �� <br /> Total .................._.._Sq.Ft. <br /> _--_�-_---_—=--_-- <br /> .................................. <br /> Reinarks........................................................................... <br /> _ ._..........._ . .__....__..........._......... ...................... <br /> .......................................................................... <br /> Order Receiced__.............................................................. ..._...............-�'..�../ <br /> .. _._... <br /> \Vork Completed._....................._............._.._..._.. Foreman <br />