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w. 6 P ORMC] ~ I�446 - �l � l� � <br /> CITY OF EVERETT--Water Dept. <br /> ApplicationA'o:_�_.:..i=i.L.... Date........._�, LL.1Ll..�.'.L....19./L<I <br /> InstalS.......................__t�ch watcr service pipe <br /> For .... .................../. �..... ... .. ..................... . , ............................................ <br /> ()n ......�...��Li........��...�.�-��:{:�.. Stre�t <br /> L.ul.....__......................--._...................._... t3lor.k No..........!.----......... ........ <br /> Ariclition ......................................................................................... <br /> _--.._......... <br /> Iicmarks ......._........................-............ <br /> .__..._........_..........._..................... <br /> - ..... ..................... .................- ......._....._................................_....---........--- <br /> ................... . ............................................................................................�-�--.. <br /> .._..............._._....... -..............._..--....................................- ........-----........---.... <br /> ............................................... ...................................... ............................... <br /> � Superintendent <br /> LABOR A\ll 7NATEAIAL USF.D <br /> Nc. i Si.e I —.. <br /> ----- -.�_ ._. .—. __ _ <br /> . .........� :,cad Cnnnection Conplet�� <br /> ............. . .. _ .. .. ..I <br /> .._..._.._. ...........I...�.__.�._..._....... S�ddlc Completc <br /> ....._...__.._.....ft.�........................... ............................................._ ....................Pipe <br /> ......................_.......................... Scrvice Cock <br /> ........................... .......................... Scr:ice IIox <br /> No. Aours Labor.._......_.........._.............._......Cosl............._.................................... <br /> Culin._..__.._ .....PavemcnL......... ....._..X........................ ................._....Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ .� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ------------- — <br /> Remarks....................................__................................._........................._...._.-- <br /> ......................................................................................................................... <br /> ......................................................................................................................... <br /> OrderReccit•ed .............................................................................................. � <br /> \Vork Campleted...._.... ........_._...__... ............__....._. <br /> _.. .. <br /> Foreman <br />