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, <br /> 9. �I. PHICB[�1r� � � o � • ' <br /> w. O. fORM ] v a� <br /> CITY OF EVERETT--Water Dept. <br /> � , ' ( ';' ...is.:.... <br /> . ... .. <br /> Application No:................:.. .... Date;.::.........:....:..._....... . ..... <br /> � Install......_....�.-!...-��-�-�inch water service pipe <br /> : � , <br /> ' ' • ! . ................:........_........................ <br /> :.__.:................ . ... . <br /> For _...............:........ _. <br /> � .... .......-�............... Street <br /> On .... ................. <br /> �.. :.....:..1............................... <br /> Lot............................. .. ...... Block n'o........---.....----................. <br /> Addition �_.'............... . �..:......:..:..................................... <br /> .........................:.:..................... <br />� Remarks .....................................�-- <br /> .................... ......................................... <br />� _.\.............�._.............._......._..............._......_..._..._ -................._...-----...- <br /> ......r �,........... <br /> /� ��......�� I �. ....................... <br /> t......................................... . ....... ........................ <br /> �;.._,...... f• <br /> � ....::.........-- ....;.:: .......... <br /> ! ................._............................................ , ....Superintendent <br /> � <br /> � LABOR AND MATERIAL USED <br /> ' Size � <br /> _— — <br /> __.............. ......... T ead Connection Complete <br /> ..................... � <br /> ...............i.......... ............::............ Saddle Complete � � � � <br /> ..........._'..'.:�....ft.._^_�...`::...:....:.:..I .............._............................... p . <br /> ............._...__.. <br /> Pi e <br /> ..................._. _......._......_.... ....... Service Cock � <br /> � . . �. . .,..�..... Service Box . - � ' � . <br /> � __. . � � . � .. - . � . <br /> ....... . .. , � ...... .. ..... ............ .. <br /> � ' ..............f .....:........ ..... <br /> ......... ; � .... �:.. <br /> _�.�....�.�.._............:.I .__....... ............,............_........................._........................._..-._"---._. � <br /> No. F.uurs Labor..............................................Cost......................................._5....Ft. ' <br /> Cutin....................Pavemc�t....................X........................ ..---................... 9,� � <br /> ....................X........................ ........................ <br /> ....................X........................ ........................ <br /> �� <br /> ...................X.................._.... --........._.......... <br /> �, <br /> Total ....... ............. S9.Ft. <br /> ------- <br /> Y.ema rks............................................................................................................. <br /> , .-, . , , , .................... <br /> ... .......�:._...i.:i..:....�a:1.................�..:... . <br /> ............................._............ <br /> , ., . �, , . . . . , . . <br /> � �'....:_.......�.................................................... <br /> Order B.eceived........:..::i.�::........... <br /> > ._. <br /> .. . . .... <br /> \Vork i.nmpleted..........:..:......:.. .................................._................... . <br /> Foreman <br /> � <br />