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' �- /��O � � . � .1 ;i � 4- <br />w. D. IO�M J <br />CITY OF EVERETT--Water Dept. <br />Application No..�� �.:.:���.,�_... Date...........'....� ....................... 19.�.:>. <br />Install..........._ .............._..inch water service pipe <br />..................../............................, • <br />...... .. ... <br />or ............ _ . <br />l r .......... ........................... <br />. <br />On•'> :-2 c z .-����, �.: . � �q: :t..S .. :::...................... Street <br />.............................. .. .. ..... . .......... <br />Lot.............................................................. Block No..................................... <br />Ar.idition .......................................................................................................... <br />Remarks ............................ <br />.............................................................................. <br />.................... ..................................................................... <br />.._ ......................................._................._..._..__. SuPerintendent <br />LABOtR AND MATERIAL USED <br />................................._.........._....._I Lead Connection Comnlele <br />................................._................._ Saddle Completc <br />.......................ft.. .......... .......Pipc <br />.......................... . ............................................. . <br />........................... . <br />......................... Scrvicc Cock <br />.._ ............................... Scr:icc Bax <br />No. Hours Labor ..............................................�os;.................................................... <br />Ciitin ....................Paven�ent....................X........................ ........................Sq. Ft. <br />....................X........................ ........................ <br />�� <br />.. _ _ ........ .....X....... _ _............. ................... _... <br />�� <br />X........................ ........................ �� <br />....................Tota] <br />........................Sq. Ft. <br />----- <br />Remar s ............................................................. <br />.......................... ..................... <br />.................................... <br />..................................................................................................` - <br />............... � <br />CrderReceived ............._.....__...................._.........................._� ................. <br />\Vark Complctcd ..............._......_.....................__ ...__..._....._...:........ <br />Fnreman <br />