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s r.b�.u„ar+n.u,�� / S� � - <br /> W.U.Form J � <br /> CITY OF EVERETT--V��ater Dept. ;;�; <br /> Applicatioi: o.�.C.)._%�:�:...� Dale.... .�.;!_..::.�.__.�.................19...... <br /> � Install�....:.�.�-..�..ktnch water service pipe <br /> � . <br /> ...� � -• � ' � ....�...at..a:..� .- <br /> For .. � ...... <br /> .>.1..�:..*.t�..:..........:........�--� <br /> � � , ;, ;, ., ., ,' . . ,; : <br /> _ , ... .. .. <br /> . treet <br /> �.-..:'.......... ...... ........ ... ..... <br /> Or. ._._.................................._............. <br /> - � � � �......... Block No...!�....'�.�._�............. <br /> Lot.......::.............�........ �. <br /> �ddition �.t<!1--<..J�.............- - ..............................._.. <br /> _.......... - <br /> maik _. . ��..........--- <br /> � ...........................................................�-� <br /> , �-- <br /> ���--H < <.. ,�� �.�.,. �� f�� <br /> � ...._...._. .....1... ..........:..: .�_ _ � _ �............ <br /> ........-�.......... .... <br /> ,�� ; <br /> . � �- � �--... <br /> .` � ::. . ......... : ... - <br /> +� � .. x.�...c_:�-c:�--.........._..� �' '-----�— <br /> ........'....................... <br /> .....�..... ............. ��---- <br /> _ . ........... ....z: -� <br /> . ... <br /> ....._ <br /> ..�... <br /> . ... ;., — �r .� �_, <br /> : �.. . �:..._.._�..--.... ........ .---.....-- <br /> ........................................................... . - <br /> perinlendent <br /> ., . < �C%�,�.. _ <br /> L —_ <br /> LABOR AND MATERIAL USF.D <br /> No. i Size _ <br /> -- ---- <br /> ........................_�..._...._.................�i� LcadConnectionComp�ete <br /> ............................................ <br /> ,._._._�il Saddlc Complete <br /> .......................ft...................._._... ..........__..._..._....._............. ..........................Pipe <br /> ........................... <br /> ........__............... Service Cock <br /> ......._......__........_......_........ <br /> ___.. Sc�vice Box <br /> No. 2iou:�s L;iUor..............................................Cost.............................._................... <br /> Cutin..__.............Pavement....................X._......___......... ........................Sq.Ft. <br /> ....................X........................ ........................ <br /> ,� <br /> . <br /> ....................�........................ ........................ <br /> ........X........................ ........................ �� <br /> ............ Total <br /> ....sq.ri. <br /> ------- <br /> ...................... .................. <br /> Pemar s................................................. .......... <br /> _... .._._........._....................................................................................... <br /> ........................................................ ......................................................... <br /> . <br /> .�........................ . /..... .. <br /> Order r;ec^i�;e�1................................... _ , <br /> . <br /> .,., / o� / ^ � ! , t_ I <br /> . , <br /> ,.�rk Cornpleicd_F�-�f.,l...... ��...�..... ........:........: . .... <br /> _...._.. . <br /> Foreman <br />