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. W.b.PIOI�M f9M,,•� / � D ` ,J �(�' -/�`\� <br /> CITY OF EVERETT--Water Dept. <br /> / /// / �-� <br /> APPlication No.1..�..<_.�L2.� I7a�.�.l.................�--�--------.19...... � <br /> .�� Install.......��.� .--_---.....inch water service FSpe <br /> ;For ....._..� �-u:e.�--�-�--•�'p9'�.«. k -- •-• ............. <br /> .... <br /> �............. .- <br /> . ...-•---�- <br /> `• �� C.r«.-:�/:'k:._--.. .. .... Street <br /> i \ On ........---................. ......�-------- ...... ..__-. - y�f ..- a <br /> � Lot............ .._��--------• ._...._.......------ Block No..l�-���t.-:..-�i� <br /> Addition - ....---...............--•- <br /> �T� ...`-`----.....---....... ...................................------- . <br /> J Remarks �Q:�..a....' _'.�..�:s�..-....�--�'-�-- <br /> .........................'-' <br /> • �- ' � <br /> --.._...!XL-�.=S-=�°"-'�--...1.."4.......L..�:i..:e._::...---------......._..._._....------�-�--- <br /> �' ._.....-'----'--..._.:..--......----'--'-'--'-'---......--'...................._.'----'---...----'----'-'-'----"-•- <br /> ..---------_....----'-.......-"-.-`................_..........._...-----'---"--'-- <br /> - <br /> � ¢��. ;. <br /> .. . <br /> --......-�--�-�.............�.. ._ _:. u., <br /> �... .-.C�......"_'_"-._-................ , upp�.' nd <br /> ".� <br /> r {� <br /> r t'� �" <br /> ' S . LABOB AND MATEBIAL IISED � <br /> e.� <br /> ^a Size � <br /> �_�`_�_ `� ;.____....................I Lead Connection Complete <br /> � ' . +�� . 5addle Complete � <br /> ......__... _ _'."._..:................'.. <br /> ..........Pipe <br /> 'a,; . ..St._"....................... .............................................................. <br /> '.............._.................................... Service Cock <br /> ............................ <br /> .........._.._.....__-. Service Box <br /> � No. Hours Labor..............................................Cost.................................................... <br /> Cutin............_......Pavement....................7{......._............... ........................54.Ft. <br /> � ....................X..........._........... ........................ <br /> �. <br /> � ....................X-....................... ........---............. <br /> .� <br /> .............._...X...--'-.............-- --...............---- M <br /> . . Totei _._...................54.Ft. <br /> ---- <br /> � � <br /> �.._R.. -.:........ - - .. <br /> Remarks_ ..Q...- ... ........... / s, S�. . -� -...._......- ..._- -__. <br /> ♦ P <br /> ' .. <br /> ...' .'........................ ..... ....... ............... . .. ... . . � �)�4/� <br /> ............... . <br /> , ............... ..._.... .... .. ......... ............ ........... . ....... - . <br /> Y ,.. <br /> � ' Order Peceived--------....t.----y�---1-----�-------.......��.. ------------�--- ' <br /> Work Completed..� "1-..�..".:t.,;"�................t:,. ------ <br /> .... . ............. .. 1 <br /> Foreman <br />