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.� . • <br /> s. �. nnivn[ � 3 7 sg . �/ �/ � <br /> w. o. Fonr+ �d � <br /> CITY OF EVERETT--Water Dept. <br /> Application No..._.._...{. ,�. �. Date..........�!:4.�.:......!.'-.?�......_.......19... <br /> �. ;< r � inch water service i � <br /> I:istall.............................. P i ' <br /> • �, � - ' <br /> �° ,;. Fec ... <br /> :._,f.�,.�.�.-�".........��,��.:��.�.��.�-..................... .... <br /> ... <br /> �. . � � /� = screet <br /> I Cn ................._.i.,<!.1�...._._i................. .............. . ..................... <br /> , <br /> 6' ' � <br /> , Lot.............................................................. Block No..................................... <br /> �,� . � Addition .................. . <br /> ,, .......__........_................_...... .. :.... <br /> �... ........... <br /> '37ch 1 � o � �. <br /> .... <br /> Remarks �._............... .._ l�_�.—._�... <br /> � . -............. ................................... <br /> , •. <br /> , <br /> ........ .. . ..... ...............................................................................- <br /> �-r f...,.. <br /> . , . , ........................ <br /> { , ............... <br /> �.......�.._.:.��..�........................................ <br /> 9. , ..........��' <br /> .._.......... .................. ....�...............................---................................. <br /> ........... /. ...... <br /> . <br /> � �l 4�� ��v� ............................ <br /> ...................................................'.Superintendent <br /> �---_ '— <br /> LABOR AND MATEAiAL USED <br /> __ j� <br /> -- <br /> � .i ;,cad Cnnncelion Complcle <br /> ..._.........._......__................._....._' Saddlc Cmnplete <br /> .............�.......... ........_ <br /> � _......................PiDc <br /> ......................tt.........................._ __........__..........__...........__ . <br /> .............................. <br /> ...........__....... Scrvicc Cock <br /> .................................... <br /> . ............... Se:vice Box <br /> .��._��.�.._._�......._...I ....._..._....... .�..._......��..._.�..�.�..�...........�...__..........._.�.._....._.....___........_.........._... <br /> No. Hours L�bor <br /> . Cost.................................................... <br /> __....................._....._........_. <br /> X......._............... ........................Sq.Ft. <br /> Cul ia..._..........__Favemcnt................... . <br /> ....................X........................ ......._............... <br /> ........................ �� <br /> �)ZCcf�.a �- .�C' ....................X_...................... �, <br /> ....................X..._................... ........................ <br /> Total ._...................Sq.Ft. <br /> =-----��------ <br /> ........._. <br /> Remark,..........__..............................__...._............._......---...... ........ <br /> . <br /> OrderRecciced.............................................................................................. <br /> ..._....... .. <br /> \Vork Complete .................................... Foreman <br /> ................................ . <br />