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/���V � � - - . <br />A J. PFI[B[ YM •.� ♦ <br />w. O. fOMM ] <br />CiTY OF EVERETT--Water Der�r, <br />`��r� ,,,,,; , <br />?r_ Jil <br />Applicalion No .....................:.. Date................................................19...... <br />t�stall....._ ....................... .inch water service pipe <br />For............_ ................... .................................._..................._........5........ <br />l .�.– <br />On .....:.�.. ��J�..... ._ ,e..cS.�?..:t2t�i�... ....................._.._.. treet <br />Lot............................................................. Block No..................................... <br />Addition.............__ .........._....----_............................__................................ <br />Remarks................ .................................................................................. <br />_. _ . _ _ ............................. <br />LABOR AND MATERIAL USED <br />No. .,� Sixe � — -.-- <br />__ __ ___ —�— _. <br />.........._....._ . ............_.....__..'I :.cad Coenection Completc <br />. _._ ................._...__.................. _ Saddlc Complelc <br />. t t. ... _ _ _ ..................I . . _.. _ ............... _......................... <br />...................... � <br />._... _ .................. <br />__............_........ Scrvicc Cock <br />_.._ ................._.. Scrvice Box <br />....I ...........�.._.... <br />No. How�s Labor............_........ <br />Cut in......._......_..Pavcment . <br />.............. ............ <br />Superintendent <br />Pipe <br />._....._X ........................ ................__....Sq. Ft. <br />..........?C ........................ ........................ <br />., <br />.... _ _........... X........... _ ........... ....... _............... <br />,� <br />....................X_...................... ,� <br />�___ <br />Total .......................Sq. Ft. <br />_____ .__ <br />_____ <br />P.emarks._..._ ......................................... ..................._.._.............................. _. <br />.......... _.___......___....._.........._.._ ..................................................__....._... . <br />OrderReccived ................................_......_........ ..................._...... ...... _ . <br />\Vnrb: Complcted......_.._......... _ ._.__........__.... <br />. . ...__....... .__ .Forem't <br />