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T� .o <br /> i� <br />( <br />� <br /> 6 d VIU[�[ ]M 1� 2 $ t` i <br /> W. D. IOI�N 'J <br /> CITY O�jEVERETT--Water Dept. <br /> Q� ...is�s� <br /> ....................... <br /> Application No..�._-.�h.-.-�..."•-- D�te......�....'...... � <br /> � T„��ll .,_,,:��y,,,..;:;.inch water service pipe <br /> �/f �' " - � ;, � �4.�'Ar.-,++—......._..... <br /> For .......;.�::l�::...f:.f.,.:.S.:a:.........__ ' � ... <br /> •--�„�..........T..._`........ <br /> ... <br /> �' „.f.�...D._'�—......._l/�1�;.,��'C::t::�r..S....... Street <br /> On ................................ , i7�� <br /> ...��............._....... Block No.......�::.':............._. <br /> I,o t......................� <br /> F.ddition ......._�J................�....................... .L.... <br /> ..... <br /> :,- v <br /> ... ..-'-----.. .....::1:1. ._..� <br /> Remarks _ �:t::.2_�r�..fi.S.1L1.._...._G".� , <br /> r <br /> ................... ��..�f................."-.............................--'.-"......."'._... <br /> .. ... ........ <br /> 'Sf..........-'.............................................'................ <br /> ................. � � ' <br /> V .6..... . . _r f7�........-•----........_....... <br /> ............ ....�.':....... � . . <br /> �...................._. ,��--.................... <br /> ��..!/ .... <br /> ..`.. ....._.................. <br /> .......��_� ... <br /> ..... ... ............... I ,! / �. SuPerinlendent <br /> �-----�--G— � <br /> LAAOR AND :HATERIAL USED �, <br /> r; <br /> Na. � Size I ____.-- <br /> —__ <br /> —I --,— � <br /> ......................................................I <br /> Lead Con7ection Complete `' <br /> Saddlc Com�lete . <br /> ...................................................... �'�1 S.! PiPc <br /> ft._......................... ........................................................... .�. ., <br /> � ....................... � � ,. <br /> __............... Scrvice Cock \�;� <br /> ................................ . i <br /> ........................... <br /> Scrvicc Box .,� C <br /> ..._....... , <br /> ............... , ....... <br /> ...... .. �_........._� <br /> ............._.....-........_..................._. <br /> ..................... ........................ . . <br /> ........................... , � � <br /> ..................... <br /> ...........................1...�... ,e..........._.............._...................................._. <br /> . ..............................�..........._........._....................................................._.. <br /> ............................................... , <br /> ................................................................ <br /> ... ................................................ _ , <br /> ........................... ....................... �--- <br /> No. Hours ].aUor..............................................Cost..._.............................................. � <br /> ........................Sq.Ft. <br /> Cut in....................FavemenG.........._.......Y......_............... , <br /> ....................X........................ ......._............... <br /> ....................X........................ ....._.................. <br /> .� <br /> ....................X..............._. <br /> ...... ......._............... �� <br /> Total ........................5q.Ft. <br /> _.--- —` <br /> -�------�-- <br /> -- <br /> � ........ .........:.:.:...................... <br /> Rcm a rlcs............................. . <br /> ......ti..�:........�......: <br /> _........................................._..:...:.....:..........._........ <br /> ...................................................................................... <br /> . ....... .............. <br /> OrderPeceived................................................................�.., <br /> '...:.............................:�1....:.;..t.,..:... �_...... <br /> \Vork Cumpleted_:........�....:...... Forem. <br /> V <br />