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.- <br /> S '.?mhoNl`-Ib� �� � '�/!. �". "" <br /> W.U.PomJ ' �� <br /> CITY OF EWERETT--Water Dept. � <br /> / ,� � _. <br /> 9pplicatien No..�:l...c.�.... D te........___....._..........��..:i:�::..19�../ <br /> Irtr�tall......._� .� ... .inch water service pipe <br /> / ......... . <br /> F�� .............. <br /> u.�..:. ��.............. �:4,:s:s:�.�i.4:ir..::....................... <br /> ........ , <br /> On ............__.11..�_�7....._ti�.�..`......C.:i':`�-:-.,..r................. Street �� <br /> Lo�_................. . . <br /> ................................. Block No.........:�.l-��-�-�--......... <br /> Addition .........................._.......................',,....................... 'i........... <br /> , .....`....., ....... <br /> Remarks ��.:..:...:'::�..�_�::::.:.._..._...._......'...f.`'.: . , <br /> ., .............. . <br /> ..�-'.......f.i.�,.......... .................................................................................. <br /> � f� � <br /> ..........�................................... ....... ........ ............... <br /> ...... ........................ <br /> c:�... /, «.. . , <br /> �,,,�....�,..:,'.":..�_._� ... ......-• .............................._................................ <br /> .... <br /> .... <br /> ... �,., � . <br /> � • ` <br /> .................... ...................... � > , <br /> ............................................_......._..........• <br /> ,..:.. <br /> Superintendent ' <br /> � <br /> LABOft AND MATERIAL IIBED � <br /> No. � Sizc <br /> i-- --- — <br /> ......'................ .........................� 1^ad Conneetion Complete <br /> I <br /> . . ..i `addle Complete <br /> _..................� ........._............_................_� <br /> ._.. ft....... ........__...............FiPe <br /> .............................._......_.............. Sen•icc Cnck <br /> ........_...................... ._................ Scrvicc Box J <br /> ................................_:.................. .................:..._........................................................................................ <br /> ........................._.�:�...........{_...... .............::..........�..._.............................................................__............... <br /> ,. - �. ,. . . . <br /> , � i <br /> _.._.._...................................�:...... ..........._................................................._................................................ <br /> ✓ <br /> � No. I-Iours Labor..............................................Coat.................................................... <br /> Cutin_.........._.....Pzcemenl....................X........................ ........................Sq.FI. <br /> ....................X........................ ,� <br /> ........................ <br /> � " I..................... ..............._....... ........................ <br /> ....................X........................ ........................ ,. <br /> . . Total ........................Sq.Ft. ' <br /> -- . --- . ��--- <br /> ._ . <br /> . <br /> .y/. , . . <br /> Remarks�...........c.......:............. �'_`-•---.........._.......................--...... ...... <br /> __.....__._.............. .. . . � . . " �� :l.'1.. ' f <br /> .�.............�..._�_................._.._..._.:.._:.... � f,.if.r,......... <br /> � <br /> _........_.............................................................�::.:.:..:`�..��1.:'---.............._ /l/ <br /> Order Pecei�•ed._...................................... J,. �.._..... . ....................._ / <br /> . ..... ..... ... ... <br /> �'�orlc Complcted..,�-.; ..�._. ..'"":.�../..................................... / <br /> . ........... <br /> Fcreman <br />