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14 78 � . , ���,-i <br />W. O. fOFM ] � � <br />� •CITY OF EVERETT--Water Dept. <br />Application No,✓�jy� .... Date.......... . hµ. � ................19. l� <br />�.... <br />Install.......�j% inch water service pipe <br />,� / f.....'.. .. . <br />For ........�%"+!-Cy:.�..__�=_r.:�U :..... ........._............................... <br />� ... <br />On ..........�/!:../l/..<.7� _ ................................................. St:eet <br />Lot....................�'../........,.................... _.. Slock No.................................--�- <br />.Addition � '�i .� ' , <br />........: .r........c ........:.:.....�..r>x-c:..-_._ �--r,:�.i <br />.................................... <br />Remarks......................................................................'................................. <br />..............................�� 2[.a.AR.C..�,..t�..rt:�.��7��v::�n.S�::G..G.�................................... <br />r -� ., <br />..... ............................ ............................................................................ <br />,�. <br /><%LGL�..� .r�'..i 4-�. <br />..........................._....... z. .......:f......:Y'...,....._........................ .............................. <br />.............. R,,..........._s.,.... <br />(�' . t'"' �� � <br />............�:... _�... ......<. T--� <br />Superint deni <br />� LABOB-AND MATERIAL USED <br />Lcad Conneclion Complete <br />Saddlc Complcle <br />................ . ....................... <br />.. _......._.. Servicc Cock <br />................ Scrt•icc Box <br />......................... I ......... <br />.......................... ......... <br />No. How�s Labor ..............................................Cost.................................................... <br />Cutin ....................Pavemcnt.._......___...X........................ ........................Sq.Ft. <br />: �, .. � . � .................... ....................... ................'....... <br />�� <br />' . ...................X........................ �� <br />........................ <br />.................... ................. ..... ........................ <br />�� <br />Tota] ........................Sq. Ft. <br />___ ____._..______.— ' <br />Remarks.......... _ ........:.:...'_.---.....; �.::................. ................................................ <br />_. ..... _......_....... _ ...............::._......:......................................_................ ............. <br />. ................................................................................................................... ....... <br />OrderRecei��ed .............................................................................................. <br />\Vork Campleted .................._........................_:....__............:.._. __..........._. <br />Foreman <br />