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.. ._/�f299: . , �� <br />w. o. ronH � / 1� � iG � 3 <br />CITY OF EVERETT--V�Iater Dept. <br />Application No...�.����.�... Date......�:�..:.'.....jQ�.'?...._ .............19...... <br />Install_ .......... . ..._....._..inch�ater service pipe <br />For ..�lLilii['�.✓ __.��!1/L:t<Cr� ..................................... <br />On ............G...7.:._ .Y_.5�...._.,..�.%-4�'�2'.Y..! i�`::t �::� .................. Street <br />Lot.............................................................. Bluck No..................................... <br />Addition........................._............................................................................. <br />remarks.......................................................................................................... <br />. _...... _ _ _ .......................... .."------ <br />.......... . .��. �.y.J .�.1 . .............. <br />.......� ................,.....p.............. <br />___.9..-..3��---._.6�r..r�1.. _...... <br />Superintendent <br />LARUR AND MATERiAL iJ3ED <br />— ---- ----- <br />......__..___.........__.._.........._....... Lead Cm:r.ection Comp:ete <br />........__..__.........._ ........................ Sad,91c Complete <br />_ ............... _....f l. ........................... .............. _.............................. _........................P ip e <br />.............._.._.._....._..................... Servicc Cock <br />...............__.........._....._............._ :icr�ice Box <br />....................... _ . ................... _ ..... ........ <br />....... __ .............. ..................._.._.......... <br />t7o. How�s l.abor......_.._.__ ......................_.....Cost......_............................................ <br />Cutin ...................Favemcnt.........__....._X..._...._............. ....._.................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ .� <br />.......... ............. <br />Total ...__ .................Sq. Ft. <br />— _— _.— <br />--- liemarks.. .... .. . ..._.. _...._...._...........__ ......................._.....__...._... <br />_. . _.__ ... ....... <br />Order Reccieed....... <br />1�'.�rk Complcted.... <br />_ .. ....... ...................._ �... <br />..................._......_..... _ ..........�. <br />Fareman <br />