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w. o ranr.[ ��'/ � V ` / • <br />CITY OF EVERETT--Water. Dept. <br />� � � �'� - - — .%�7 <br />�. . . <br />Application T'o.C..:.:.._'.... /_� Date.....:.:.._:.:'.�:........ �. ....19...--- � <br />, . .. ......... <br />, lnstall.....�../ ..................inch water service pipe <br />For � ' �.l � � • • • <br />_1 y..../ ::..l....�.�........:Lti......�...6:..:.t.._'..:..... � .. <br />� , _,..... � i./ ................... <br />r� ^ ., I_ _ ' j . /, ...._.... <br />, , <br />011 ..... ......./ `_ .(.r. . ,�.,..i ' �-i <br />.......:.�--..._.... ........................._. � .:..' Street <br />.........y ............. . <br />Lol...............................�•---...............----...... Block No..................................... <br />Adciition........................ ......................... <br />.................................................. <br />Remarks.........................---......---.....�,............ <br />............................................... <br />r � -��� � • � � <br />..... � � , . � _ � , , <br />...................'-...........:......,.x...... �:fl.:f .Lt....:................................""'-•"'- ' <br />...... `. ...: - <br />^ . .......................................'.................................................._. <br />/1........: _-......... _ .....:....... _........--'---.... <br />, ............................... <br />.. ..... .........Y <br />� <br />..... .__..._. , J.� � r-�. <br />' 7.� ............_ ....................................::.J..........,..._'.. _ <br />..I.... �� . SLL�PC31 <br />;� I.I i �� <br />_ _� <br />� �•. I,ABOR AND MATERIAL LSEiD <br />i� � ............._Size <br />��� � . �Lead Connection Camplete <br />.......ft..._` ...................I Saddle Complelc <br />,.� ............... <br />!...... ........................................................................PiF <br />�����-�-�� � Service Cock <br />.............................. ..... Service Box <br />.. _.��..-_4.f..: �.....l... , ... . <br />......r... ......................................................... <br />No. Hours Labor ..............................................Cost.................................. <br />Cul in_ .................Pavement....................X........................ <br />.................. <br />,i - . , ,:,�,. .' _ ..................X........................ .................. <br />Sq. Ft. <br />....................X.......... ............. .� <br />.... <br />................ _�... _................... <br />........................ �� <br />_ Total .................._....Sq. Ft. <br />-----� ---- <br />Remarks....... �:, � , ., — <br />................................ ..�_..... ......:.._ _......................... ............. <br />_ <br />-• �'� a ' n. � <br />... ..............................................._........ . � . -. . <br />....:_...:5 ........:....._......:....:.............._......... <br />OrderReceived ............................................................................................... <br />R'ark Completed.;:.:...1.:...:..:' .::.:.........._..........:...:..:......:........:................. � <br />Foreman <br />