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3 8 s's" <br /> CITY OF EVERETT--Water Dept. <br /> Application No.......... Dot,, _.... _... . .. ... 19...... <br /> lnstali./.......... .__....... .. .inch water service pipe <br /> j( t..... ywtl I_7 ...................................................... <br /> For .....,t..._..<.._.... .. ...:... .. <br /> On .........................:_ ./.... _- F':' ........................ Street <br /> Lot.......3. �1....... ...... Block No........... .................... <br /> Addition ......................... ......................................_............................... <br /> Remarks ...................._............................... <br /> ...................................................... ......................................_..................... <br /> ...................................................... ...I........_....__.................._.... <br /> .............................................. _............».... <br /> ............................................. ....................................... . Sup^rintendent <br /> 1 � <br /> LABOR AND MATERIAL USED <br /> No. e <br /> Size I <br /> LoaP 4 'e <br /> ..........._.._.._..__.._................. <br /> . Saddle Com tete Complete <br /> ..........._......_... ......................... .........Pipe <br /> _. <br /> St _... ._..........._. . <br /> ......_..................._..........._.._................ Servi^e Cock <br /> ....._.._..........._.......I..».._. Service Box <br /> ...................._ <br /> NO. }{001'6 1,36or.........................._...............Coat..._..__.»............_................... <br /> . <br /> Cutin....................Pavement....................X................. ........._..._.......Sq..Ft. <br /> ......»..........X.................... .................... <br /> P <br /> ................. <br /> X........_............. P <br /> Total ......................Sq.Ft. <br /> ............................. <br /> . ........................................................ <br /> .................................................................................... . <br /> . ................ <br /> Order Received.................................. ........................ <br /> ................_.. <br /> lVnrk Completed....................................... .............. Forcma <br />