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� 8s� � _ � � _ � <br /> e.L.inin['a <br /> w. o. ron.� a <br /> CITY OF EVERETT--Water Dept. <br /> APPlication No...�.:{��_�.... Date........_/...:—. '2 C�........19.`?J <br /> � ....................... <br /> Install...�-��_., inch water service pipe <br /> f �•--....---��--.. <br /> For ................................................. <br /> � . ......._..... <br /> ` � �:...'........ ........._............ <br /> On ............._f��..�........./.._�.:+�..� ���tc;,L:.Y.:.._. Street <br /> . ........•--..... <br /> Lot.-�........................................................... Block No.-----.................._. <br /> Addition ..................�� .......... <br /> .....................�............---..............---............-- <br /> Remarks ................._1.:�`�!:.::tL.'`k.:.. ___.. ....... ..........----- <br /> � ' �r <br /> .......--�............................_---........Q.-J.'.�d;:r�:f:�,l.......�.-lc�-.��`Y..�...---.._-----.. <br /> .............................................................�---............�.................� <br /> -..................... <br /> ............................................................�---... .-�... <br /> - - • - • <br /> ...............................................................-.J1::..�c �,t< -........._...._..__. <br /> ........... ....... <br /> /r�/j��:�, <br /> 3uperintendent <br /> . LAB06 AND MATERIAL IISED <br /> No. Size <br /> -��................................................... Lead Connection Complele <br /> ..................................................... Saddle Complete <br /> � ':�'....ft.. :._-�. . , . <br /> .................. ......:..:..:............. .:....::...��..d.c...:.._...........................................Pipe <br /> , . . <br /> ..............._....;!...........:.�.:.:::.......... Setvic�e Cock <br /> .......................:�......::.�.::.t.,:r_�:.... Service Box <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> v , . <br /> , <br /> . � . ....................X......................_ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �. <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks...... ...............-- --.........:..:.:.:.:..........:. - <br /> ........................................�-� <br /> , <br /> , , <br /> ....................................................:....r---'......:.........................................._........... <br /> OrderReceived................................................................................................ <br /> �Vork Completed.:'.i.:...::.:.::....: :C.'. r'; ', � <br /> . . ...............................:........:..:.:............ <br /> Foreman <br /> ._ . .y""_-7 <br /> • <br /> + � � <br />