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5�1.Prielrt tlTf 7-ya°�O �O � ..- � � <br /> W.U.Form) ( <br /> CITY OF EVERETT--Water Dept. <br /> / � �; l� <br /> Application No...J..�n.��....0 Date.......'....__..........C.7............19-._-1 <br /> �r� . . . <br /> � Install_.......................:.....mch�cater senace pipe <br /> ,1�., �n , ;�' ....:..._`.c ; � �- <br /> Gr i <br /> For ....,�...:....•......._c:...... -� /. ..........................................__ <br /> On ....:---.::�..✓ P..1......./�,.�.:�....�:..:. �..'...................... Street <br /> .... <br /> �_ �i <br /> Lot.--...�.-1.:./.9.-..�'..S:..G.�.:/7.t-��1,...7 E{ack o......7..`.�.J,/_-.......----• <br /> Addition ......n.l.-F'.�.G..eE:�...�._.5:...r..�7iti.r�....�Y:cA-�,.-----............. <br /> � <br /> Remarks ._...� ...................................t........--.._..._--..........._--...---------- <br /> ....... . ..._ <br /> -j�..�d ,� ., ,,�-t ,, .: � c.�_c., _.........._.....---- <br /> ........................... <br /> .,� � �„ ( , i: , i . . <br /> _ ._.. <br /> .................................... <br /> �c ..y.-_-�......................�....,�..:..:...............:....---�--......---- <br /> ..... .................... ..:�- <br /> •• ��; <br /> ......................... ... ,�,}.s....•....:...,..... .. �_.. � <br /> ��'......_�. � /�l.%�,.,._..... , <br /> .....A.�.. .......�... . '.......:.....................�..�......� . <br /> ` ... ��/.. <br /> __� ..;........ <br /> }} n -��� � r uperintendent i <br />- �� ( � .1 �- V e.C.�I ( l r. .._r_+'v _ � <br /> v <br /> LA60 AND MATF.RIAL USED <br /> Fo. � Size i ----- .— <br /> --- -- — <br /> ................._...................... <br /> .............�I Lcad Conneclion Complete <br /> .....................................................� Saddle Complete <br /> ......................ft............................ .......................................................................Pipe <br /> ...................................................... Scrvicc Cock <br /> ......._................. Se�vice Dox <br />! ._.....�.....__. �_. �.....�_........... ......._..._.........._.�..._.._.._....�_...._..._.�.....�...�._............._....._........_.._�_.. <br /> ....... .... <br /> ....... .. . <br />� <br />� .. ....... .... <br />� Nn. Y.ovrs Labor..............................................Cost.................................................... <br />� <br /> aCul in............__...Paveinmt...._.... .........X....................._.. ........._.............'q. . <br /> . ....................X........................ ........................ <br /> �� <br /> ....................X..............._....... .................---.... �� <br />� ....................X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> — -- <br />' — -----� --- J � � - ✓ / <br /> Remarks..,+�........ h + l,t.� � _�.......................... ---...... <br /> �....... . .0:.......:......................... <br /> / .� <br /> ......................................................................................................................... <br /> ...................................................................................................................... <br /> Order Receired...... ............�-............................... . . 1�,r-;�;�r�._ <br /> .� ' � � ,� ,.. , . <br />� Crork Completed..�:�..:�.d.._:..�.�...'1�............,.�l�,7_.�...k.�.'.................... I <br /> Foreman <br />