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L i�MI�,.W 1�1 I � � � - . . `� � tCJ /' <br /> W. P IpI�M i _ j - . . � <br /> C TY OF EVERETT--Water Dept. <br /> � � r� <br /> 'ion No..�L.�k. ... Date.... . ,' .�.�.....19.�'. <br /> �} Ins _-- .�m�ater�sernce pil,• <br /> Applicat <br /> For A/�n �.t I'.`c:_. .� !._:c �.�:.--'-------...:.�.::�_!�:fi<..........._. <br /> r,� y� . <br /> J..��� L!�f::i4 s ,k,�......._..._-----�---.....---�---------- Street <br /> O71 ..............L...� �- .......... .� . .. <br /> Lot-�.....................................................�----.. Block No..._...._..._........._........... <br /> Addition ........................-....._--------.....----..........._.............----•-�----�-----.... <br /> Remarks ....--• ---� --....--.•-............._-----...----...-�--------........---....................� <br /> ... . - <br /> i ' <br /> ..............--- .. . :��,_?i.a..�a..ac.0.......f.J.[LG;.t..l:�".!:�4.L:!'.S.Ac[r ,'„ <br /> �.........---._._-�---....----�--......-•---........._........_------�---�- --•------------ <br /> ..._ ._ �- <br /> ��- --'----`-.....I................'--'--..............__...........:,,..... ._... } <br /> . . . . <br /> . :. ............�._ <br /> /4, <br /> ...-'--- -'r......si -�._ '� �--"-----"'--'----.::._t1�._... .._' --F-�...s•-z:G...2_... <br /> � � G/ uperintendent <br /> ��, ) 9. <br /> � <br /> �•. - LABOR AND MAI�ERIAL IIBED <br /> No. � Size �_ � <br /> ..._..__.. �� �-._.,........ ................� Lead Connection '(.amPtets <br /> ......".'� _"�:...__::..�.................. Eadd3eCompletg <br /> ""'........2-,�-.St._.....�;.!................ <br /> ..--'-__...s'�:*'��.s..-_...........'_-_......_......Fipe <br /> "............_................:}..:._........_... Service Cock <br /> -'-........"_..........i--'-......_....... Service Box <br /> No. Hours Labor..............................................Coak.........._.........._.._....................... <br /> Cutin......--�---........Pavement....................X......_...,........... ..................._...54.Ft. <br /> ...................X..........---....._... .� <br /> ...----....---....... <br /> . ...................X....._.................. ......._............... " <br /> ....................X........................ ......._............... " <br /> Total ........................39.Ft. <br /> Remazks......._.......--�----....................... - -----� .._... -........-- ---........ <br /> _ ----- .._...- -..�..........._.._ ..... -......._.. -..._v.._---............................ <br /> ............-- .:>..�t::y.,«�..�,.t�---�..--------- --.................----•�--...._..... <br /> � Order Peceived. ._ ... . -._ . -�--- <br /> ._. . -' <br /> i�y � < " <br /> Work Completed ��Zyh.�-k .�. . .J_� 1�;.� ,_ .-r ' .-_„ �,..,... 1 <br /> � Foreman I <br />