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�.�. cacoE� � � �' � � . <br /> w. a. ronM I R� <br /> CITY OF EVERETT--Water Dept. <br /> '�� e z� <br /> ApplicationNN.�.�<..f�� Date.......�cL .:-_�°_�.........19:�J <br /> 1�stallrr�'..�...... .. � ch w ter service pipe <br /> � t�, - ; � <br /> ��.��z� . ' <br /> For .......... .... ... .... .............?Z%......_ ... :— .. .�'........................... <br /> / -�..� �-c�2.-S�:........_--......... Street <br /> On .............._..........,! �._—.. .........�....:........ . , <br /> Lot.............................................................. Block No.............---........----......... <br /> Addition ................. .. . <br /> � - ........ � . ... ... ... ..... <br /> . . <br /> ............... <br /> . .................. <br /> t� � - �. � <br /> Remarks ...............T..`�.V�.L�..y...C�-Y✓`r� <br /> - .......... . . .................. <br /> ................. ..................^..................................................................... .. ............ <br /> l' <br /> ................. ................Q�................ . .............................................................. <br /> ... -/Qa��,�..... ........_.......,�... ,... ................ ----...._.. <br /> z � �_ ,f.,.�, <br /> ................................................... ....�... � <br /> _.. -........... .. ....... <br /> Supeq Ecndent <br /> LABOR ANU M1IATCRIAG ITSED <br /> No. ' Size � <br /> .................._................---............... Lead Cunnection CompletG — <br /> ...................................................... Saddle Complete <br /> „_ i r. <br /> ��� ' '.�......................_...........................Pipc <br /> ..........�.....:.'....f t.........'...:............ ....:............... <br /> � � � �.� � �' Service Cock <br /> ..............................._.......... ..._. <br /> ...................................................... Ser✓ice IIox <br /> No. Aours L�bor..............................................Cost....................-�---........................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> . . ....................X........................ ,� <br /> � ........................ <br /> ..................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> _-- ---— <br /> � , <br /> Remarks.........................t�.f....::..�.,....:..:.:;.::................................................. <br />� _. ._.....................................J....::J.IM.:.:....:�.h.'._..,�.r:L..:.:i.....""""..................._. <br /> l. <br /> ............................................ .....f.:.:.f.at.:::.......�.....:'.:..t......................"'"'""........... <br /> Order ?tecei��ed.................. ............................................................. <br /> \Vork Completed.'..i.:..:::::.......::.__......_.. "� 1 <br /> .....c:........................... ............_.... <br /> Foreman <br /> l <br /> F ---- -- --- <br />