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9. J. PPIC9C /��J . <br /> w. o. ronw a� � -/ � 7 . . - ,/.. <br /> CITY OF EVERETT--Water Dept. <br /> � , <br /> Application No..�__'...`�_ ` i OFC.....:_�.'',�..............19...... <br /> ... .... Datc.................. <br /> lnytall.............................. .inch �sater service pipe <br /> For . ,/ <br /> _�.. :.1..._...L_.' -.(.f.�w.. <br /> .._., .. .. ..._...._......................_......_......._... <br /> ...........: 'i <br /> On --..1:.._I...:.....%.-:�:ti.....::.�:..L.-....�.............................. Street <br /> Lot.__......'_�..`�..Sl;°:�.�:.......... Block No..................................... <br /> Add:'tion ............................_......................................... <br /> ................................... <br /> Remarks ......................... � ........................................................................--�- <br /> � „ <br /> r:�.c+...�..r...f.... .�................................................................................... <br /> ; 1 <br /> . <br /> ...................... ........................................................................................ <br /> ( �7 ,� <br /> �_1.-._...�.<,�.._...._ ...�................................................--- ......................... <br /> , <br /> .................._._.......................................;....r..........._..................._..... <br /> � Superinlend�nt <br /> LABOR AFD MATERIAL USED <br /> No. 'i Size I . <br /> —____— <br /> ' ' / �i,- / <br /> ._.................._.........._........... ..... .. . , <br /> ............._........._I......_.._.._..___. ••ead Connection Completc; I . . . ,: . <br /> Saddle Completc ' � <br /> .........._...........f:.I........................... . .. . . ...................P i p c <br /> .............._.......___......__......._..... Sert�ice Cock <br /> ..........................._......................... Scr:icc IIox <br /> No. Hours L�bor..............................................Cosl......._....................._.................... <br /> Cutin_..........__.._Favement....................X......._............... ................._.....Sq.Ft. <br /> ....................X........................ „ <br /> ......._............... <br /> ....................X........................ �� <br /> ......'_............... <br /> ' ....................X........................ �� <br /> ........................ <br /> Total ................__._Sq.Ft. <br /> -_---- ------------'— --- <br /> __ <br /> Remarks................./............................................................................................ <br /> -' Si7,: pr�v c - <br /> ,,, ,�, <br /> .. .�.i.'.].L............. ._...............................:...:..............................................._...... <br /> .............................................................................................................................. <br /> Order Recci�•ed........................................................................ <br /> �......._....... <br /> �Vork Completed........_.................................................................�..... ..__. <br /> For�an <br />