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I <br /> v � <br /> �i i MI�1 ���O • . <br /> W. 0. IOAM � <br /> CITY OF EVERETT--Wat�r Dept. <br /> �: -��� /� , <br /> AppHcalion No......................� �f te...._...J..�...-�...:�._.(�.............19.:'...�- <br /> Install.........l..�:...............inch water ser�;ce pipe <br /> For ............................................. _ /" <br /> ......_..... <br /> 0'1�� �r(•._ `i_.. .............. . .. Street <br /> ...... ........... <br /> On ................... -...... .......... <br /> ....... ..... <br /> .......... ....._..... . <br /> Lot..............................._.�............_....... Block No........��._............... <br /> Addition - ... . .. ....................................... i <br /> .....................� <br /> ........... ....... <br /> �._.._................. <br /> Remn!ks ...................._I:�_z,.a..�..x..:-rc,..._. <br /> .................................................... <br /> ..................................................................._... i <br /> � �....... ..................................................._.........................................._... <br /> .... <br /> �t� . ,--..-.:..............................•-•-•••-•(�.... . ... <br /> .... . <br /> :. _ ... ��,��,�....�... <br /> �........:. <br /> ...... .... ..._�..........................................:r-•-/��> sux:Lntenaent <br /> i , <br /> ��i�� LABOR AND MATERIAL OSSD <br /> No,SSr.e I <br /> 0 <br /> _ —— __— <br /> ..........................._........................ Lend Connection Complele <br /> ..................._...._.........._.............. SaddleComPlek <br /> .....St_.._.... ........................................................................Pipc <br /> . ..._. ............... <br /> .......... <br /> � � ...,...... Service Cock <br /> ....... ............_. <br /> ......„i.! . <br /> .� �� � � ,,,..... SerViCe Hox <br /> 1...... <br /> .............................................._........... <br /> .....................__ �� <br /> ._......,........ <br /> .. , - i.s ............._..........................................................._. <br /> ............... <br /> No. Hours LsLor..............................................Coet.................................................... <br /> ...... ........................59.Ft. <br /> CutIn....................Fe��ement....................X......._......_. �� <br /> ....................X..........._.._....... ......._.._........... <br /> ....................X........................ ......._............... <br /> x <br /> ....................X................. <br /> ....... ........................ �� <br /> Total .........._...........Sq.Ft. —� <br /> . ^ rl � . „ .. I. t .............. <br /> �' .. ......�../.......:.:�'"......................................... <br /> Remerks�? .............�7: , <br /> ::.::.::::.::::.:::.::.::::::::::::::::::::::::::::::::.::::::::::::::::......._��4��'�1���:�.:::: <br /> ........ ... .. <br /> Order Peceived. �-•••"• <br /> .... '......................... <br /> __.........................}.......�........ <br /> ,(� _ . <br /> �..... .r................ . ...................... <br /> Nor}: Completea..'1...:: ..+.4�........ ..L.- Foreman 1 <br />