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: 1.rtfeM1e�Mo-96�f /�i /�� <br /> V.D.Form J r/ \/ V . <br /> CITY OF EVERETT--Water Dept. <br /> Application No.1..���L'�� a�c.... -�lr/ " � � <br /> � r)�„�;Y /�-�..-/. . .c�.%..........19�. . <br /> , Irystall.r..;....✓.... .............i water'service pipe <br /> � � �.�' �/`"� r i , .. <br /> _..- . ......... • :�..--� <br /> or ....;y;�._........ . ��..� � ........_................----•---- <br /> � <br /> On ...i�..:�._....�:...,:..�........?�:..._!. .`>.,.................. ............... Street <br /> Lot......_........�_...Y.`..._�-....................... Bbck No.._...r'�f.�...�.. <br /> ............ <br /> Ad,9itio� .................... .. <br /> �,1...................,�........._......... ............................_ <br /> 3emarks .................. ...1...�:`�:rf./..'""..-c._r'.::.e:::L'�._ i <br /> .......... ............................ <br /> _ ..... .................... ...._......................----........--.......................---................ <br /> .......... <br /> _.... . � <br /> ' G) i �u��7.....�.-�..........................._......"""............................... r: a <br /> ....... <br /> c � <br /> �' r <br /> , <br /> � � <br /> .... .....-�..7 ..:..^:.,...�...:1._F............. . ... <br /> , . <br /> . ...........^................ .' "' ............. ,� <br /> � . w <br /> , � ;. <br /> ..............�'.i'4!r.:.�....� I ."'/ � :1��'1 ..l' , � <br /> 1 ...._.... ......................rl- �--:...:.. ... ., <br /> .............._::.-•----...... <br /> .��.-�Superintendent <br /> LABOR AND MATF.RIAL USED <br /> No. Sizc j <br /> ---—— --- <br /> .....................................................I I.eacl Connection Comp]Me <br /> ........__..................................._.._.i Saddle Completc <br /> .......................ft......_ _..............._I ......_.__...........................................................PiPe <br /> .............. ...................._._........... Scivice Cock <br /> ...................................................... Scrvice Bos <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin..._...............Pavement.........._........X........................ ........................Sq.Ft. <br /> ....................7i........................ �� <br /> ........................ <br /> ........... ........ �� <br /> ......... ................ ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---- ----- ----- <br /> � -- <br /> Rer.,a rks...::...:...............:....... ....................................._..................................... <br /> ............................................................... ..................................................... <br /> ...................................................................... ................................................ <br /> OrderReceived._............................................................................................ <br /> ',l'o.k Con�pleted.;...:....-.'.......:...:.. I <br /> .................. ._... ........................ .... <br /> . ........... <br /> Foreman <br /> r <br />