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e` �. nwi�e, ���+ � . • . <br /> . ' w. o, ronH a <br /> CITY OF EVERETT--Water Dept. <br /> APplication No�?'.�`�.-�. � ,i ._ �. / C, <br /> ... Date................z:..�........_.�.......19...! <br /> Install........./....�.......i�l.inch water service pipe <br /> Por ............l.lr.=t.-:�.-.....:..'%.s:(.:,..f. P.:s��............... <br /> . /' � � <br /> — �.—� . <br /> - ...... ....................... <br /> On .....:�.���... :�t:_".��y.L<y,_�. !.�.� Street <br /> / ........................�r.......................... <br /> Lol.........�?..<U Z <br /> .. ..........:.. ........................... Block No..................................... <br /> Adclition .......................................................................................................... <br /> Remar!cs ...:_�a.!-�:�:��...[.�..%.J..:'��.............................._.. <br /> ...................................................................................................................�---..... <br /> ., ` �. <br /> � ..........::(�...c�:......:.�l.�;:c,.0_•;-•_•_r <br /> ......................................................._................... <br /> ...........................i�;�...............................................-�-�---..............---.................. <br /> ...................:..:_;V9..�;,,/..................---...........................�..�:�'._�:�`.�-I. <br /> .�,,� >1 Superintendent <br /> �i7 u/. <br /> ' LABOR AND :HATERIP.L USGD � <br /> No. � Sizc I <br /> ................:..................................... Lcad Connection Complete <br /> ..................................................... S�ddlc Completc <br /> � ............�.l...tt........:...:.............. ........................................................................Pipe <br /> ........ .........:�.............:................... Service Cock <br /> . ...................................................... Scrvice Box <br /> rr <br /> I, No. Hours Labor........_....................................Cost.................................................... <br />� Cut in...................Pavemenl.................X......_ ......... . ......................Sq.Ft. � <br /> � ..................X........................ �� <br /> .. . ......_.............. <br />� � ....................X........................ - ,� <br /> ........................ <br /> � ....................X........................ �� <br /> . � ........................ <br /> Total ........................Sq.Ft. <br /> ---'----- -- -- � <br /> �— r <br /> r J . � <br /> Remarks....................:.........�_.c.........:.:........_.................................................... <br /> n_�. ...< � <br /> ....._..........._ ..........'._�...._�............:r.::::..;..:..�....::.:.. <br /> ...................................... <br /> .....................................:(...._cz::._..c.i........................................:......--...._...._.. <br /> �.�,:,. . <br /> . .,. �. ° Order Recerved......................................................................_....................... <br /> , „.- <br /> ,. ; . <br /> � . lVork Completed.� .�. '.:._::......... ...... ..... . . .......... ....... . ... .. \ <br /> ..... <br /> � Foreman <br />�'�'ar'ii;". <br />