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� <br /> . : ►,�y.�y,.iF:�sO I ��.' i ._. .. <br /> W�D.•:orm i . <br /> CITY OF EVERETT--Water Dept. <br /> Applica:ion No.!.�`f:�...:�%ya..��.__'_...�.s.'.-.:1..::..._.:.�.�..19.�/ . <br /> � Install......-�..........:....._...inch water service pipe <br /> -r�, �--� <br /> -.�-7—" , , � <br /> For ..._.._....✓..t:.:.:.... ....:..... .i........b.-.1.�,-i -:...._:..... ..........----...... <br /> . . � � ,� � - <br /> _ ' ..:!.-- <br /> f�"�� ....:�._'::....:_ .. ...._.�..L�.:.--=:^...:r_'�.:_' , -' � .... �treet <br /> .....----�-�� <br /> , ( . <br /> - � � t, <br /> Lot........... ......../' j sio�x rro....:,...........�............. <br /> , <br /> �.... . .... ..................... <br /> � , <br /> . . , �- ,....�._ <br /> .9 aition ...1..:�..: ...:�1....... ,.. • ^. ,..�........ <br /> .............. ..._. ..�...,�-^---....... . ..---... <br /> , � <br /> .. <br /> �inarks � . <br /> . . . ..........�........................i,.................._'-_..�.""-' i""f:.......... .. <br /> , <br /> . �� ��� ' �� � : ,. ;, � <br /> / _ <br /> : . - _...........................-.........4."""._..:Z..............�.:::_'""".._""'"'""........L.... ...""""""..._� . <br /> .!/����� .. ..\a.........."'........................................................................................................ <br /> I . � �.., .. . . . .. A�....u. ,. <br /> � � , <br /> ......................................... ... <br /> ...........y., <br /> i :� - / . � ...:�. ................................................�.� � ..... ...._�:.:...:... ...._._. - <br /> �+,�i;� 7�l� ��� (��/ Superintendent� <br /> � 4 l �"�1 � \ � , r <br /> i� <br /> ��LABOR AND MAT£.RiAL IISED <br /> - � ; <br /> No. Sizc <br /> ------- �- <br /> � Lcad Connection Complete <br /> ......................................................I <br /> ......................_...,._.......... . Saddlc omplete <br /> 3 3 ` " ' ""-rJ t.-.:�"...........................Pipe <br /> ........... <br /> ....................._ft........... .../......._. ......._...._..._...... <br /> ......................... ........................... Scrvicc Co �, <br /> ...................................................... Servicc IIox <br /> No. Hours Labor..............................................Cost.................................................... <br /> Culin....................Pavement..............._....X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X.............._......... �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........_..............Sq.Ft. <br /> --_--- — - <br /> Rema.rks......��..L.....:'�..............:...:....-_:..:..................................................... — <br /> . ...................................:................................................................................. <br /> . . ; � <br /> ................................... .:......................_......._._..:....................---............----• <br /> `__ � ........................... . <br />�° ,. �....................._ <br /> f �OV rk C�nl lr ed.._......_................._:_..:.::..1......:..:.:_i:..t::1..----.................. <br />',� � Foreman � <br />� <br />