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/ 3 `'` <br /> a�DP2or�ie jM 9-1 955/ / � � � .. <br /> CITY OF EVERETT.W ter JDept. <br /> .�- / <br /> APPlication 1�0......�.�.:�.- .. Date....�_!...f..:..._ii...�..........19_��. O <br /> Install......�,�"._...._.,.., inch watcr service p;pe <br /> For ..................... <br /> .......--................. <br /> . , <br /> ................�-.........--.....-------�. -._. . <br /> On ................:�.r:�-.G�........�'....:.---- .. �-- <br /> f � , , <br /> . ..............::...�,.l.............------. Street <br /> L o t........................ / <br /> ..... ---.._..................._.. Block N6.................._--�---........ <br /> Addi;ion <br /> ......................... <br /> _............................_. <br /> ......................_. <br /> Remarks .; -.._.........--- <br /> .......................... <br /> ,.._........... .. <br /> . .........--(................................ <br /> .._...........-......................r.:.<. .-._.._..r.._.:_.....:.,� <br /> ' - ---�..�....._......_......._ <br /> ................................................................_....... <br /> ................_._................._.............................. � <br /> ..................... . <br /> f�....._�:.......:. <br /> ........_----.. <br /> ..........................--� � Cr; <br /> ................:........�....... <br /> ...... ..............::.!:�� <br /> 3uperintendent <br /> - � r'" !_-•. ��_ .f.t <br /> I.ABOR AND MATERIAI, USED <br /> __ No. I Size <br /> —_-- — <br /> ................._............................_....� Lcad Conneetion Complete <br /> ...................._....._............._.........� Saddle Complete <br /> __..........._......ft...........................� . <br /> ..._..........._.... ......................._........................Pipa <br /> ._'-......................................_....... &crvice Cock <br /> .........._............... ,.eiv�cc Box <br /> ..................................... <br /> � .......................................... <br /> No. Hours Labor..._.._........._................. <br /> .........Cost......................... <br /> Cut in. .. .Pavcnent.........._........X........................ ......................... <br /> ..__......_. . . <br /> ........................Sq.Ft. <br /> ...................X........................ . ,� <br /> '................_.... <br /> ....................X........................ <br /> ........................ �� <br /> ....................X........................ �� <br /> ......._.............. <br /> --�---.—,_ Total Sq.Ft. <br /> ...................... <br /> Remarks....i1j.�.. ...�..�f_�..`�..r.:: � !•_ L = <br /> , <br /> � �J` ...........::...................__..---............. <br /> �.... ................................................................................................................ <br /> :�'..'.L'�.! �' � �<<-7 �r <'f 1 P � <br /> - � . ... ..................""........_....................�.............'_'�t� <br /> Order P.eceived.............. ( �'•-�--........... <br /> J i ..........--................:.'_cJ�-�t���a.,.,l. .�...._ <br /> ti'Jork Completed...�.:-..f.-..:�� ' � 't,�(.� <br /> ..........--.................._...................._ � <br /> Foreman <br />