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�'7� � - �a h'Y _ <br /> 6'J. PFI[Pi • . <br /> W. O. (ORM <br /> CITY UF EVERETT-- " ater Dept. <br /> �� ��._L l f G� <br /> Api�lication N�...�%��...... .... Date......._...:.................................19...._' <br /> Install.........:��.'.-..-... .inch water service pipe <br /> For ......,.�.�........ <br /> .F�r./..L C.Z n�'`.�..........................._"'.""................. <br /> �j-•a� ��r h��.r.:zc.�......................... Street <br /> On ........... ..�.... ............................ <br /> Lot.............................................................. Block No........---.......................... <br /> Addilion .......................................................................................................... <br /> -......_l.:r.s.s-,�-.. .. ...�u.�.:-.✓.. <br /> Remarks .r�v.X..:c:.<.:t:4:�.G./._.. "� <br /> .................................................................................................................. <br /> ...................................................................................................................... <br /> ...................._................._..............._........................................... ............_•---.. <br /> .. <br /> :�...,(y l='�f-z=x� <br /> -� <br /> ................ <br /> ..................................................................... ...... SuPetintendent <br /> i9> i.•l <br /> LABOR AND MATERIAL IIBRD <br /> ......_S i z e......... <br /> No_�_ <br /> — <br /> . Lcad Connection Complete <br /> ............................. I <br /> . Saddle Complete <br /> ......_..................._...._...... ........_. /t[, <br /> .� ........PiPc <br /> �2..V....it.......:l.i:....._.... G.s:.:lry......,-...................................... <br /> / .._j_/y._._...... Sef�ee Cock <br /> .....................�..... <br /> .......................�. <br /> ........................_.. Scrvice Box <br /> .... <br /> — ..... <br /> No. Hours Labor..............................................Cost.......................................S9.Ft. <br /> , ........................ <br /> Cut m......_..._.._...Pavemen .._.............._ <br /> ........................ <br /> X........................ ......._............... <br /> ='i r" , i, .�..�.,.� .................... <br /> %/i <br /> , ....................X........................ ........................ ' <br /> ....................X........................ <br /> _......._..........._ u <br /> Total .................._._.5q.Ft. <br /> .. –`----- <br /> —_–..----_-�, . <br /> — ----- - ' <br /> ��.._:.."r'.;.,:'....>. :3.�::':�.!_5.............................................. <br /> Remarks..................._.... „ <br /> � ! • <br /> f?G�._-1:.�A.�:t;......r.,�,.ca:.�.t,....._................. <br /> _..........._.........._............:..y...... .. <br /> ........................................s�!...r...?.Y.>,.f.�:e+�............................._............................. <br /> OrderReceived............................................................................................. <br /> t: ' / <br /> .. . ....�.�..:................... <br /> 1Vork Cumpleted--:. _ -;.:...._�..............._._... ..:..' . <br /> Foreman <br />