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R J. PRI[O[ i 1� 9 s'3� � - <br /> �'��I <br /> W. O. IORM ! <br /> CITY OF EVERETT--Water Uept. <br /> Applicati` No...#.I`/taIl�LD�� i1/c..�ch wate...:Z..�.j....19:,,.��„J <br /> r service pipe <br /> � �! ) � t:.. ... x <br /> For ............ .. . .................... <br /> ............. <br /> .... ...�✓ <br /> ................... <br /> ....--•-- <br /> � -3� X.4.�:ti�1_.'..� . z...... .�'��.. Street <br /> On .............. ..................... . <br /> Lot............................................._............... B ock No....---._.._.._..._-- ---........ <br /> Addition ................ . .............................................,... .......................... <br /> ........ <br /> :.�� <br /> „ <br /> �—/ . _ . , <br /> .?'ieul�Plts .............. :...Zi..:a:L.,+.:1.�� :i';.�:...<..CL........._'-'......r.�k..:�✓l. �� <br /> _.............�..............,Jn.J........ . <br /> : <br /> ................._�._...���:.?...._.. �.... . . . . .........."'... <br /> ... <br /> . . . <br /> JJ� : ..................................................... <br /> . .......... . . . . . r/L. ..�. . '1.. <br /> �.....�::.......................•---........................0 \ � <br /> , , f1�-�...�J,� � <br /> ....��.. . �'.:.................................................. ... . . . ...:......... <br /> � , ....�..-..-. �� <br /> � Superu�tendent �, <br /> LABOR AN.'> MATERIAL IISED <br /> No. Size � __ _ <br /> ................................ ....... Lead Conncction Complete <br /> ..................._................................. Saddle Complete <br /> .......................tt............................ .......................................................................Pipe <br /> .................................................... Service Cock <br /> ..................._.......................,......... Ser.•icc Box <br /> ra. Hours Labor..............................................Cost.................................................... <br /> C�,R in._....__..._....Pavemcnt................._.X......._............... ........................S9.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tolai ........................Sq.Ft. <br /> --Remarlts. ... ..--- • <br /> ..............................._:..:.:...............t:.:�........._.................. <br /> ...................................:.:........................:..:.:........_......................................... <br /> ....................................................................................................................... <br /> Orderiiecciced.........................._..........__.....,........ ......................_.............. <br /> � . . `�..: ' / <br /> ��•��•�: cam2;i�t�a.,�.�-..-......:.::........................... ....... ........_,.......:...:...._.. / <br /> Foreman 4 <br />