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� r <br /> S�S.PneLef%f 9. b -Y.� � '' • • . <br /> VI.D.Fo�m J <br /> CITY OF EVERETT--Water, Dept. <br /> -. - , — , <br /> - � , , �; <br /> Application No...=:.....`..:�.__/.. Datg-��..._�..,._!.. ...--- ._�.......19_--- <br /> .._. . <br /> Install............._�..............inch ws�er service pipe <br /> �, � -, .. � � , <br /> i l � n � , <br /> For ........�._......._...=..............1_f.../I..:............._........................--.............._... <br /> I <br /> I On ..--.............._.................._........._�...................----................_....... Street <br /> Lot................... ......................................... Block No...---......................._...... <br /> Addition ........_... � -......................._.............__.................._.. ............_........ <br /> Remarks .....................1.::--........n..------.................,.�..._.....----................... <br /> I � <br /> i .!�}��. : ' / �' .....::�..C._C::.i..t:!....._�......._�'.`.'..!._Y..�r...5.�.— <br /> '�.. . .....�........... <br /> !J_.......1."........................_......._._......_........._.......---'............_"'......._"'-'.. <br /> C..... � .....' 17...._ �./'.................� m nd--..n. <br /> ................�..................... <br /> �i,: ., m .� ;� . ' ^:. .»t� �� <br /> .i._ .a.. ..........r <br /> , <br /> F ..�..;........ ..f.:..� ....... . %Lc.. <br /> .. ...._ % �..._.� . <br /> / Su r' ent <br /> � ! <br /> � LABOR AND MATERIAL UIiED <br /> Na. ' Bize <br />��' � �r...,...,..��1;ad Connection Complefe <br /> __ I <br />� .. ............ .. . - <br /> �� ...�......... <br />� ..._..........:............_.......................� Saddlc Completc <br />� ,...._St...l�� ...CU, .aiL:1...............................................Pipe <br />, , _........ , , ��.........._.. „ <br /> .................. _..... ...................... s�: .��co�k <br />; . ...........................__............_........ scrvice nox <br />� Na Hour� Labor..._......................_.................Cost....._................_........................... <br />�' Cut in....................Pavement....................X....................... ..........._.....--...Sq.Fl. <br /> ...................X................-....... �� <br />� ........................ <br />. ....................X........................ .� <br /> ........................ <br />} ..................X........_..._......_ �� <br />�� Total ._.....................59.Ft. <br />�' ---------- . --- <br />, l � <br />, Remarks...........................5..... 4 - . .�.1;s._................_.........._................... <br /> !� ..f.l:L..:.f..Gs_f� -aa-.kf.5:.t............................. <br />' � . . ._............._......_............... .._ ' ...... <br /> 7. ...y_.l�-' ...... <br />�� Order Rr.ceived_..................._....................... _.. <br /> . �.f..................................... <br /> ;'vork Com letedr`_.:i..-./../ ' � �u. <br /> P ,� . ............... ._.... . t;.............. ......._....... <br /> Foreman <br /> I <br /> f <br />` <br />