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f <br /> W.'D.�IORM ] "61 � � � ✓ . V <br /> CITY OF .EVERETT--Water Dept. <br /> '� � •, a � � <br /> Application ?do._�:..7...:.._.� �Date...._�...--�-•--........�:....�...19:�5.--� <br /> Install......_._U..........._..inch water service pipe <br /> For ...................---......._........_...... -------_......,.................................................._ <br /> � <br /> On ........�.��...�_........._:�,'.`.::�..:.._.�----.'.t:_ .. Street <br /> Lot..................._.........._............----..._.---... Block No..... .}...__._ . <br /> ._.._._._.._ <br /> Addition .........r,: - . . . a..................._........_,..__................... <br /> ................... <br /> � � �/ <br /> , ,.. / <br /> Remarks .c:.' n r r� F _.---'-`-'-]....i.._.:.. . < „ �'.�. <br /> < <.- , <br /> -------�-- �..........:..._----...._.. ......---.._.....�,_.. <br /> ........................... ...�:.............._...... <br /> /• •-�---��-......_3��..._.._......_.._....... <br /> .....................::�:..r.i.�.c�.....�1-._;�::a.---.....--�--........__........._...__:. <br /> . <br /> .................1.......... - <br /> -�•--�•........................_.. ..,.......__.. --- ...................... <br /> o J�� , <br /> ..... <br /> /�) — � �2 . ,• .P <br /> .....................:......_._T........... -;............... .....j..' / <br /> � �.�.. ......................_.........'" <br /> � � �� � � � Superiniendent <br /> � �.M1BO AN M TERIAI. U5ED <br /> Na. Size � �` • <br /> '—' .-- � . <br /> ................._......_............_......:`_ � e onnc ion Camplete <br /> .................................................... ��c'ComPlcle <br /> ..............-.......ft._.._......_..........._ �':.rr._..:-'.............................._..._...................PiPe <br /> .............._..............._................._. Scrvice Cock <br /> .................._........................,......... Service Boz <br /> No. Hours Labor..............................................CosL.........._.............._....................... <br /> Cutin....................Pavement....................k......._............... ........................Sq.Ft. <br /> ..� � �� <br /> .�-+ . . �j ....................X..._......_......_... ......_............... <br /> ... °� „ <br /> � ...................x........................ ........................ <br /> � .� <br /> j� /7 /��6 ....................X........................ ........................ <br /> . / � Tolal ........................Sq.Ft. <br /> ------- — <br /> � . - <br /> Remarks.....:...:::.........._.............._...................................................................... <br /> .....................................:....................................................._............._........_. i <br /> ............�..............:..........................................................._......................----........ � <br /> OrderReceived................................................................:............................_ � <br /> \Vork Campleted.........:..........__.....:.....;;:.....:..................................... ......._ ' <br /> Foreman <br /> � <br />