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.:. o. .o.� / <br /> S� Z � // i7 % <br /> � CTTY OF EVERETT--Water Dept. <br /> Application No.,�._:r.s._r. /.. Date........�....:./............... � <br /> ...._19.1.: <br /> � Iast�ll..............J............ .inch water scrvice pipe <br /> / . <br /> F�r . . . :.:�... 41........G.... ......_�1...t.!c.�.s.�z±/: <br /> c i �• :.................................. <br /> - . . <br /> � . <br /> On ......._,c.c................_<3_r..s:.r.c.C.......,..{...- Strec� <br /> ............................. <br /> Lol......... .................................................... Block No..................................... <br /> .4dclition .......................................................................................................... <br /> Remarks .............................. <br /> ......................�... ...................................... <br /> ................._........................ ..(t.;..:.��1..:.L.l.yt:_5...... <br /> ...................................... <br /> .............................................. .............................................................................. <br /> ............................................................................................................................. <br /> ............................................................................................................................. <br /> Superintendent <br /> — r �:�� <br /> LABOR AND MATF.RIAL USFD <br /> No. Size I � ' <br /> -- ----��-----r <br /> _.—_. .-- ------------- <br /> ......................_....................__._..I Lrad ConnecUon Completc <br /> . ___........................._....__......_... ;addle Complete <br /> .__ ................it........_.................. ........ .......Pipe <br /> ._...__........................... .................. <br /> ._. ..___........................................ Servire Cock <br /> .___..................................._,......... Service IIo:: <br /> ...................... <br /> ._..................._........................... <br /> ................................................................................................................ <br /> .. ........................I._._ .. <br /> No. Houra Labor..............................................Coat.................................................... <br /> Cut in....__.....__.Pavemcnl...................X..._................... ...Sq.Ft. <br /> ..................... <br /> ....................X........................ �� <br /> ........................ <br /> ._._..............X........................ �� <br /> ....................... <br /> .._._............X..._................... �� <br /> ........................ <br /> .._ _ Total ........................Sq.Ft. <br /> ----"_ -- -- - <br /> —--- <br /> R e m a r ks.......................................................................... <br /> ....................... <br /> _. . ...._ ..............................................................__......................... <br /> ............ ......................................................................................................... <br /> Order Rer.cieed ....... _ _ � <br /> �VOI'N COI71r�c�nc� .. ... ._.. . . .. . <br /> �'�OfCiillfl <br />