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B. J'PRI[�� � �� �G l. . <br />� , c roc� � �� -. <br />- �' CITY OF EVERETT--Water Dept. <br />Application Na._:..:'. .`.�_„ i.. Date............_C� .....:........:..:.............19...... <br />�' ( <br />�etall ........................ .... .inch water service pipe <br />� � — i <br />- ' .... <br />�� . . c. i7..c._�..<.-,:�.�! ............................ ........... <br />For ...... �� ................ . <br />; • � ' <br />' ' ........... Street <br />on.._.....�.,�..t_...,.:,.a...1..k�� ........:....�......................_ <br />Lot............................................................. Block No..................................... <br />.4d�lilion .............................���:z�................................................................. <br />... ... _ . <br />_ `. ; , ............. <br />Acmarks.......:'� .......................!._': ��_!'..:..::...................................... <br />� . � . ... ...... <br />- ,...:....:.!... .... ' <br />...__ _ _ <br />`-'.-Y r�:– <br />. ......... <br />.......1..�../.......... ........................... <br />:............................................. ............. <br />/ � _ �' / � � � ----_ ................................................ <br />.............................. ............... ............ Suprr intendent <br />._........._. ......---' --- <br />............ ......................... <br />LABOR AND MATERIAL USED <br />�Lead Cor.nection Comptete <br />._ S�ddle Cempletc <br />................ _ ... --- <br />Service Cock <br />Service Box <br />No. How�s Labor ......................... <br />Cut in ....................Paven�ent....... <br />.................................... <br />........................Sq. Ft. <br />�,................._._ _..._.----- <br />��f'�(.c-f� L(,/cL /—� Z� ................X........................ ........................ �. <br />................... iC........................ ....................... ., <br />Tolal ..... .._ ba. Ft. <br />—_�---- <br />Rema rks ........... ..... <br />. _..........(;L..,�, .. ...............`.....__C,;>...................... <br />n�,� / � >�, ` ' " ............................. <br />/ > � ......._....... '.........' .............................. <br />............... .._......... <br />....... <br />Order P.eceiced._ ....................... <br />\Vork Completed ....................... <br />........._......_ ..................................... � <br />............................................ <br />_ .................... ...... _ _ <br />Foreoan <br />