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8. i PNI[B[ J� � � � � � �///��a'� <br /> W. D. �OFM ] � <br /> CITY OF EVERETT�-Water Dept. <br /> Application No%�,PsG.s'.. ... Date......��:��.__�.1.`.'..................19`'� <br /> :nstall...�..��................incl:water service pipe <br /> For ..............[�".J._.�.....y/�..cl�'��:�.�-.........................................--- <br /> On ........,1/..�7_�.......���'"'`••`•ti�,y�.-....................................... Street <br /> Lot............... ............................................. Block No....................-------....._.... <br /> Addition ......................................................................................................... <br /> Remarks .. ./. .I�!�c�'.....:.�.+.,'�:c�s.-�....-.._�.'....�_n�_----............. <br /> ..... . .....�....;�.............�.�.........................................---........................_... <br /> ,,.... <br /> .....l...c.�...�..... ��;.�,J..............�-........................................................._....... <br /> . �L; o <br /> ...�.c.r...r::.,..r,,.-�........_�.,................................................................................ <br /> t ,Yy.�� /�° r�:.�-��::t>��-�--.... <br /> ...................................... .. . � <br /> 4 ........�_..._.................... � <br /> � - Superintendent <br /> �',��n . � �. 7"J>C�� <br /> GABOR AfND MATERIAL US):D <br /> No. Size -- <br /> .... .... ................................_ Lead Gnnection ComPlete <br /> .......................y......G.....r,................ <br /> Sn�dic Complete <br /> � .�1T ..fa.... � ...................................................PiPe <br /> ............a. .... . �l.t.f. ..L..i .................... . <br /> ,_,,,,.,,.,.._�.... ServiceCock <br /> ........................... � <br /> .............�....CC3...f...G.r.�:�ae....... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Culin....................Pavement...................X........................ ........................Sq.E`t. <br /> ....................X........................ ......._............... <br /> �� <br /> ....................X........................ ........................ <br /> �, <br /> ....................X........................ ........................ �� <br /> � <br /> � Total ........................Sq. . <br /> -- <br /> .J. � �' ., - z,. <br /> Remarks........................... ...... tL.r...,.u..r....�_.:.......................................... <br /> i • <br /> -% ' , ,. �. . <br /> .................................................... <br /> .. :l.Gt....!..:.5.::..'....:.�............:........................... <br /> ...............................................�...��.�.e�:�...................................................... <br /> OrderRecei��ed................................................................................................ <br /> \Vork Completed���.:::�,:?..:::?.y..............r.�.."�1::�.r..:.:..................._.. <br /> Foreman <br /> �. <br /> i <br />