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�"9 ? � -._ <br /> d�= ,�,�a— Z . <br /> w. o. rnnH x � � � <br /> CITY OF EVERETT--Water Dept. <br /> Application No.�'Sy� Date........ ............ 7l <br /> �--. .�:�.._._...�� <br /> rastall........=; `� inch w er rvice pipe <br /> � �,. ......... <br /> / .. <br /> For .._..........✓���........ ....._�G... ........ <br /> ............ ........_. <br /> . . <br /> on ... �s c9_ C �--�' - <br /> ...... .... .... . .. ...... . ......... ......................_... Street <br /> Lot.........................��` .... Block No..........._3G� .�' <br /> -�.................. ...... <br /> • . ......_... <br /> Addition ..............���_..... . .�..................._.... <br /> .............._...... <br /> ......_.... <br /> Remarks .............. ._. . �1.,s....� <br /> .. ... r...............�.� .., <br /> � .�� : /......._�--3��.... <br /> ................. .--���...�... .. .. --�_ �:.,.-.._�- <br /> �� �/J'��/�[ —�� �b �4,''-� <br /> ..............................'/�-.�.. .........~ ......C��..� .i����.� ... . <br /> ✓ �\ <br /> �....................................................................�.. <br /> . .... ...:. /. ... ......... .. <br /> ............................... .... � ��� <br /> . ...................... . .......!. <br /> ... ............... ........ . .�......... <br /> /d � Super' tendent <br /> / <br /> _ � <br /> LABOR AND MATERIAL DSED <br /> No. Size <br /> ........._.........._......................_....... Lcad Cnnneclion Complete <br /> .............._..,...._............................ Saddlc Complete <br /> ............�._::.....ft................._....._. .�,.%l..j(i.!.k.L._..........._............._....................Pipe <br /> .................................................... Serylce Cock <br /> ......_.............._---..._................_.... Service Box <br /> No. Hours Labor..............................................Cost.........._................... <br /> ......_............ <br /> Cutin....................Pavement.---..........._...X........................ ......._...............Sq.Ft. <br /> ' �� <br /> . . . � .. ..........._......X........................ .....__.............. <br /> � � , ....................k..........._...._..... �� <br /> . ; ....................... <br /> . .�.,. ., . � <br /> ' f6.1...............X........................ ........................ �� <br /> .. - Total ........................Sq.Ft. <br /> Remar } � � F ' t' -- <br /> �, .�:.._,,.+�...._�...�......_........_S:.F�a-.,ti..c:.,.L....:::._....... <br /> .............................. <br /> 'r� . � . i) /.n.% , <br /> *�. ... .... ,'-�..G �........ ...............L...:'f.:;.....G..s�............:..:.1.:,::'.,.a.,............... <br /> !�__ a ( <br /> - --.. .._.................... <br /> OrderReceired.................................. .......................................................... <br /> 0 <br /> �Vork Completed......:..::.:..'r:..:".,....'...::'.....i........... ' <br /> ._. , <br /> ............:........s.:._.... .. <br /> Foremen <br /> l. <br /> 1 <br />