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a. o. .awLe � O � � <br /> CITY OF EVERETT--Water Dept. <br /> Applicalion No.r�l.:.'.;�:.�.... Date........_..:..�::-.:�...-'••.5�:...........19�....-'> <br /> Install...............................[nch water service p{pe <br /> � � i .. ,��, <br /> For ......... i...��......_...._,c:��R:Gs:....c�.�:,:.......�7 ..... �� <br /> '.-,- ...i ;• � � ��/� <br /> d ....� � / <br /> On ................_.:1C._.._..............:.....�•:.......�.�............1/`..'...:._... S�freet <br /> Lot..... ....................................................... Block No..................................... <br /> Addition ........................... ......... ...................... ... ....................................... <br /> • � fi J�, - <br /> Remarka .........��s::.......C1:.Gs:. .....:.....�....... ....i...�....................... <br /> ......................................................................................................................... <br /> .................... .................................................................................................. <br /> ......................................................................................................................_... <br /> .................................. .................................................. ............................. <br /> SuperinMndent <br /> ,.��_� — <br /> LABOR AND MATERIAL i18E11 <br /> N--o.�— S�ze _ <br /> ---- '-- <br /> .................................................... Lend Conneetlon Camplete <br /> ...................................................... Snddle Completo <br /> .._...................ft............................ .._.........___.........._.........................................Pipe <br /> .................................................... Service Coek <br /> ..._.....................__.............,......... Service Hox <br /> No. Houra Labor..............................................Coet.................................................... <br /> CutIn...................Pavement...................X........................ ......................_S9.Fl. <br /> ....................X........................ �� <br /> ......._............... <br /> .................X........................ �� <br /> ....................... <br /> ....................X........................ �, <br /> ....................... <br /> Total .......................Sq.Ft. <br /> ��� — � - <br /> Remarks.................................................................... ............................. ......... <br /> ...................................................................................... <br /> ....................................................................................................................... <br /> OrderReccived.......................... .................................................................... <br /> \Vork Completed......................_...........................__...... . _....... .. . ..... .... .. / <br /> Foreman � <br />