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3.� PPICB�t�9M� � �7 Z v " / �j.✓,`- . <br /> W. �. IONM ] v <br /> CITY OF EVERETT--Water Dept�� <br /> � - , , ��_ . � <br /> .....19...� <br /> Application No..�e`.':..�......... D�te.... ..��:.::................. .....:. <br /> . .. <br /> �-�Tnstall...... .I....................r..inch water serv�ce pipe <br /> � ,. 1 .�,. .. . . .. .. , <br /> i <br /> — .. ................ <br /> ' ...� <br /> ' For :.. _l .�. �l �.L.1-: <br /> On ...�r�l. . 1 t��- ' ..� ... Street <br /> � ..... ... <br /> � � �, <br /> Lot.......;:..-.1.�..-..:../�/....................... Blpck No.........................•-----••--• <br /> Addition ..................1...1:............f.R:......I..�.:..:....... ...................................... <br /> ' .................................. <br /> ........................ <br /> Remar s .................. ..,...;................... . <br /> , . . . • <br /> '�;� r i-- . . ..:.:.........n.................._-•--•- <br /> ................."'....................:.......:..................�.�............ <br /> �t/...r. ..�..��rP.................................................................................... <br /> .."'...... <br /> fj/ �7... •. ` �G7 .....................................y.._•y:_.._...F..:......."'........" <br /> _......... J:41�•.............. ^,� , r �.� <br /> ��' ,�.. _ . <br /> ..,.::�...._.................--.:.. <br /> / . .............................................._. . Superintendent <br /> . , .� J / . <br /> / � - .�� <br /> C <br /> � �y L BOR AND MATERIAL i'�ED <br /> i <br /> — o Size <br /> - - � . .................... :.cad Connection Complete <br /> ............................ <br /> .......................... Saddle ComPlele <br /> ........................... . . . ..................Pi e <br /> ' ...:._.'_'!..::.;.:�!................................. P <br /> •.....it........................... <br /> ................. � . , <br /> .(....................... Scrvtcc��ock <br /> .....................�.... . <br /> .......................... Service Box <br /> ............................ , <br /> ................... <br /> .................�... <br /> C.f.:�.:.:.�...:........ ............................................................................................. <br /> ................. <br /> No. Hours L�bor..............................................Cost.................................................... <br /> ........................5�.k'i. <br /> Cut in....................P�vement....................X........................ �� <br /> , . ......._............... .� <br /> . i�.;. . � � ....................X........................ <br /> �- ! .... ......._............... �� <br /> . , X.................... <br /> , � .................... <br /> � � � � � ....................X........................ ........................ <br /> � Total ........................59.Ft. <br /> ------- <br /> �— --- ., <br /> .�........................................................... <br /> Remarks......................................:._...... . <br /> ,: <br /> .................................................................................... <br /> . ... .. . ..... . ... ...........................:�._:.e.......:............................................... ... <br /> .. <br /> OrderReceived.......................................................................................... .. <br /> �- � ..:........i...:..:......... ............... .. <br /> \Vork Completed...........'...:......................_... Foreman <br /> � ; .-- � ., , � ,� r<;�; �� �� �(��r��. T,o�, � <br /> , �; <br />