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5. J. Fi.e6t�M �6�i�i`�/ � l <br />W. D. Fcrm J <br />CITY OF EVERETT-�•Water Dept. <br />, ,_ _ , <br />Apo]icationNa... '-.::.�....:.. Date........� :.:....:...............................19...... <br />Iustall .....................:..........inch water service pipe <br />For.................................................................................�....................--�-- <br />� , - ':'� -- ._� , ....'.�'. :.! ................ Street <br />On ............._....' `...: -.........-........................ .. <br />Lot.....`.:::;" ................_�::::........................ Block No...........................-----.... <br />Addition ................�._C:: ��. :`: :Z.:. _! :........_�=:..:i'_i_."..... .......... --......_........ <br />Remarks.......................................................................................................... <br />.......... ....__-................................ ............................---.............---........-----• <br />.. .......................................................................................... �- ��-- --...............--- <br />; .� <br />' -�f = --.. /..'.... <br />...................................................-�•1�.•---•/ ...._.......----.-.-.•----••--- <br />� .� ' <br />................................................................_....!...........................................--�•--- <br />` - SuFerintendent <br />LABOR AND 113ATERIAL IISED <br />NuR Size i <br />m <br />Lead Connection Complete <br />Sad Co�nplete <br />, <br />...... ..:r�...c:! .................................. .............P;pc <br />�crv�e Cock <br />��� t. <br />S€rvice Box ('.� <br />, y�oG.�,:...�:r.�: .........'_i:S.::z:c:s:vc�.t:.....:...�.-°P.-:.��..`:_".�°iir.�. <br />� -� i �_jc-��G,y. _ i��.o r�i ' `a- f0^a,.. ' <br />i /� <br />_ , <br />........__...........__.... f ................................_.........:.................... ...._. <br />,i <br />A�o. FIours Laboc ...................................._!o....Cost....4.:..✓..%..................................... <br />� Cut in..........._.......Pavement ....................X.................._.... .................._....Sq.Ft. <br />................. ..X........................ ........................ ,� <br />�,,4: ..........X ........................ .... <br />................. „ <br />-���.��y �� 17 . x ........................ ....................... „ <br />... ...... <br />Total .........._........._. Sq. I't. <br />---------- <br />P.em ar ks ....... ...................................................................................................... <br />Order Received ....:.:................ <br />\�'or:: Completed .................... <br />............... .............. ........... �---......... <br />-- ............. ........ _� ......... _ _ <br />\ <br />..................... ......................_..... .. <br />Foreman <br />