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� ��/� • � 4�_ . - i � <br /> w. o. ro�w a . -� C'�[.. <br /> CITY OF EVERETT--Water Dept. <br /> Application No.....��.�.l:�i... Date.........:...'.....:.............................19.�:.`f <br /> Install...............................inch water service pipe <br /> or .................................�..............---.......................... <br /> ...................................... <br /> On � ''/-S. "G.C_.'_...:.'�:.:..:_C.:i.:.......................................... Street <br /> -.....T.... ..... <br /> Lot............................:................................. Block No..................................... <br /> A�ldition .......................................................................................................... <br /> Remarks ...................................................................................-�----................ <br /> ...................................................................................................................... <br /> re_,, e a.�. ............................................................................. <br /> ............................................ <br /> 3/� .. G'o�,. .............---...... <br /> .. ............. ... ....................................................................... <br /> ,3�..-._.Y...-._�.�z............................................................................................. <br /> Superintendent <br /> LABOR AND MATERIAL II66D <br /> No. Size � <br /> .... ............................................ :.ead Connection ComP-'te <br /> ...................................................... Saddle ComPlete <br /> .......................fi............................ ........................................................................PiPe <br /> ...................................................... Service Cock <br /> ........................... <br /> ..............._.......... Service Box <br /> No. Hours Labor..............................................Cosl.................................................. <br /> Cutin....................Pavetticnt....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ...... <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ ........................ �� <br /> Total .......................Sq.Ft. <br /> _-----�---- -- _.. — <br /> Remarks........................................................................................................... <br /> .......................................................................... .............................................. <br /> ....................................................................................................................... <br /> OrderReceived............................................................................................... <br /> \Vork Completed................................................_......................................_. / <br /> F�reman <br /> 1 <br /> 1 <br /> I <br /> � <br />