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a a. enicec aa� !�'( � � . . . I <br /> w. o. rovw a ' � 8 Y O •��",-_` . <br /> CITY OF EVERETT--Water Dept. �i <br /> Application No�..t:e`.;%'u ...- .._Date........._.(::c:.:�.........7-.........19.:::` � <br /> Install...... ;% inch water service pipe <br /> For .._......f.�/�;�1.r;-.�:................................................. <br /> ..................... <br /> �ir� ,: <br /> _���- .� , . <br /> �.•-....z............:.:..:a�.�t.r.+�.�.�.:.j---................ Street <br /> On ........... ------...... <br /> Lot....--•--..........�cZ...................._.-----. Block No...:..._.....................---- <br /> '. <br /> !lddition .............�.:::'..c.:...>:.�.....:�.c::::�:c.a......:�::�.w,.......-�---................. <br /> Remarks ............................................�---..................................._........-�---�--�•-�- <br /> .....................:�..�5::......:�LSu^...:f..`:.s..f_::.........................."""'..................."""'.. <br /> ............. : .................................................."""".............."'"............................. <br />_ .....: _ ._.�:..�..�.c:�;....:�.�:_,.:�:.......................... .........--.....--�------- <br /> � , ��� „� <br /> .. :......AF&...9....1959-�`""•���:--� ....................:�'._�:.....�T.:1.��_... <br /> py,,�J, �,�•��' Superintendefit <br /> �^•!0��� _ >�,c C�� <br /> LABOR ANU M[►TERIAL USED <br /> No. Size <br /> i <br /> i ........................_ Lead Connec:ion Complete <br /> ............................ <br />'� ...................................................... Saddlc Complete <br />�'� .................._..St._.........._.........._. ....................................---.................................PiPe <br /> li ......................�......_-...:.:._........._'. Service Cock <br /> ...................._.1...................,........ Scrvicc Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavemcnt....................X........................ ........................Sq.Ft. <br /> - � � 1 !. ....................X........................ . �� <br /> �. -���� .. ......_............... <br /> . <br /> � �� <br /> � ....................X........................ ........................ <br /> ...................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks...................... . ................................................................................ <br /> ......................................................................................................................... <br /> ...................................................... .................................................................. <br /> OrderReceived............................................................................................... ` <br /> \Vork Completed.�...........:..:..;::..:................................:...:............................. <br /> Foreman <br />