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d a.�rwi�ec�n� � �o • /1� � <br /> w. a, ronr. � ..� ' -/i:_ <br /> CITY OF EVERET7'--Water Dept. <br /> : , ,- _ <br /> Application No..�f....�-�I.n Date...._:l_...:....!.......:...:..........19-_... <br /> ,� <br /> '� Install.......�.............. .....inch water service pipe <br /> ` l i . ,'" . <br /> `� ,. • �}. j <br /> � For ..............::C._�:...... .........---...�.�.�........�..:..._�....:..::..:...:.----:.................... <br /> .� � <br /> � n .............1��'--.�....:::...:_:.:�.'...:........."?1l......-----••---.......__... Street <br /> y1 , ., : , <br /> .1 Lol.--................/....?�..._�:...-------........._... Block N�....../...::_1........:.......... <br /> � Addition .......................................................................................................... <br /> 1?emarks ............. ..................................... .. . <br /> � �+, �L!;i � ' C. n � .� --... <br /> _................_.........-ir.. <br /> _.......................___....._.. � - � ��.......l,l� �. <br /> ............................----....... <br /> ,� , , , � ', , . <br /> ................._... <br /> ........... _... ...:�....�'._�.�:�..—....._c:���.�:..�:...!::�/:.::::...........:�...................._... <br /> ........... ....................................:. -/../�c.,2/�;-',`t�. I <br /> L•� � �. i� 7..../.....:......._.._... <br /> ....:,!'. ............................�......�................... . .. : � <br /> �j . ...--•-�-='......t.._t:�:......_...... .// <br /> r �' ' �� !' � $u rin2endent/ <br /> ` �� �.�,�.)- . �- <br /> ,. �-- <br /> ._ � <br /> V <br /> �� . LABOR AND MATERIAL D$ED <br /> No. Size � <br /> ................_......_........................._ Lead Connection Camplete <br /> ........... ....._.................._............. Saddle Complete <br /> .................._...it._.............._.._..... ..................................._...................................Pipe <br /> ..................................................... Scrvice Cock <br /> ...................................................... Service Boz <br /> No. Hours Labor..............................................Cost..................................._.............-- <br /> Cutin....................Pavement....................X......._............... ..............._.......Sq.Ft. <br /> ...................X..........._.._.._... �� <br /> ......._.........._... <br /> ....................X..............._....... �� <br /> ......._............... <br /> ....................X........................ �� <br /> ....._............... <br /> Total .........__. .....Sq.Ft. <br /> . ..... <br /> — ---- <br /> Remar]ts..�.�� � �% - '', <br /> ......................._............................................................\........... <br /> � l , �� <br /> Order Peceived................................................. Jj Ai._.�.'..r..._................... <br /> .....:................... .................................................. <br /> .. ........_...- ,.. <br /> ........... ........................_......................................�� '.._.._.................. <br /> � ) . � r.� <br /> \1%ork Completed.�,l....".�...�'h../.�........................................................... <br /> Foreman / <br /> —+r_-_ - <br />