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S ].PriebalM 6 (/q3�� � O <br />W. U. Farm 3 � �/ <br />CITY OF EVERETT--Water Dept. <br />Application No.��,. '..�4.... � Date....::.r: �....:..... . <J '% <br />_ .........................19.1... <br />Install .................i.:.:.........inch water service pipe <br />, , . <br />'7' . _ � � J •) � /I . .�'(' .. <br />.� �_ . <br />For ...._�...�... _c.2......._.�..._�........../..� r.._.....�.....:� :..:af..Y.� ................. <br />, <br />�i s ?'.t'...-:i.i:'--:''.:a:. 't.c .............=..�.:_:.:...�..,Street <br />On ................. .... ..... . .... . <br />I.ot... ����.`- ........................_.................... Block No......-�--�--......................_ <br />, , , <br />Addition ._ ..............�.....:�:'>...:..:..:......:.._...........::.:.'_`.'........1........::...�....... <br />Remarks . <br />.............._ _....................................__.,......:.:.............._.................__........... <br />� � .�uperintendent <br />LABOft AND MATERIAL DSED <br />d <br />m <br />_..........1 Lcad Connnetion Complete <br />,........... Saddle Cog�qle(� <br />r:::....... 'C/ ,.. C�,�r ..................................PiPe <br />.. _... _ ...................... ..... <br />............ Servife Cock <br />�( �o <br />.......... �r e Box � , �/ / ,�.......:_�., �. <br />„ <br />> ,( . •, oe-,�.-�'t._�. r.<��.�la.rc_3' xJ- <br />. ......... .�.:.tG:....r:._L.'.:.% :...............................7.....� ...y............ ... <br />+/ .......... . ..... � �........7?_! �.. � Lc7.... �,y.i. ��'..:.... y.Y. �.1..........aif.Y.,�....... <br />.'/ �-f �a <br />............ ........................%./ J_�5:......................................................................... <br />-� ti'/}J�-z/ <br />�.a ......... ....................................................:.......................................................... <br />DIo. Hours Labor .............._........... <br />Cut in..._..........__ Favement_. .... <br />........................Sq. Ft. <br />��' � i� ...................X....................... ........................ �� <br />�� C,tr � � 3 �� X..._ ................... ,� <br />1�� I' . <br />........................ <br />�� � Total ........................Sq. Ft. <br />-- ---. _ _ _ ------ — <br />-- li�_marks........._.._.._ .................................................._...................................... <br />OrderRcceived ....................... .........._............_.._........._.............. ........ <br />l;'rn•i: Completed .................. ....... ............_..._........................._........�'�.;.. <br />Foreman \ <br />