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l,� 9��' ;, -,; <br /> w, o. ro ✓ <br /> CITY OF EVER�TT--Water Dept. <br /> Application No.��.�`IY:.�`--.. Date.._�P..."./........................ •- .18...C�� <br /> /I tall....��.................... inpch water service pipe <br /> For ��.v.F..1.�5:!�s�.....���.�stiL:'�....................._.............. <br /> on ....1..`,l.J....]:.........���..,u�................ ....................... street <br /> Lot..__...... .....................- --- •�-•----- Block No....--.........----...........--�- <br /> Addition - --------.....................�--.....................-----...................................... <br /> Remazks ............... .--� ...-- .... .. .,-�-�-� ....--------.............---- <br /> ..........._....... .............��.�.�-��..........---....._...........--�-�---- <br /> .......... .. . . .. � ...-�--� -............................._... --.................---.._.-- <br /> .......... .... �� -...- ._...... ...............................-��------�-- <br /> ... _..... ----- - .......... ........_........-�- --�- ....................-----....... <br /> SucerintendertS <br /> LABOB AND MATERIAG II8� <br /> . ..�Lead Connection Complete <br /> o. _ <br /> .. . <br /> ....... .. . <br /> ...................... Saddle Complete - <br /> _ __...........tt........................._. ..........._._..........._...--'--._.............---........._--P3� <br /> . _... ._.................--.............._.... Service Cock <br /> ..... ....................................:....._._ Service Boz <br /> ..............._..'._... .......................... ................................................................---...._.._......_.........................._ <br /> ........................... <br /> .... . . . .._............................................................................_..........................-- <br /> PIo. Hours Labor..._................_.......___.._.....Coat...._.._................._....................... <br /> Cutin.........._....__Pave.r.ent._................X...................._.. ..............__......SQ.Ft. <br /> .............__..%_.........__......._ �. <br /> .......'............... <br /> ............._._..X.............__....... . �� <br /> ......._..__--........ <br /> .._................X........................ ............._......_. 4 <br /> Total .........................Sq.Ft. <br /> �.— — <br /> Remarks. ........_-- -...- ................._.............. ...-- -............ ........... <br /> ............_.............__.........................__...........- -..........._......_................---�- <br /> ._............._............---...._................. -.................- - - -�- --•--...._... <br /> OrderReceived.._.........._..........._.......__......................................................_ ' <br /> \Vork Cr,mpleted...._............................... ........__...........- ......_......_...._..-� \ <br /> Foreman <br />