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� -- -- - <br /> - � GoB� , - _ � �-:� .3 , - <br /> , <br /> w. o. ro�w a <br /> CITY OF EVERETT--Water Dept. <br /> Application No..��..i_'.:�'.f'�. Date...._�.�Y�..'.....��.�.........19...... <br /> 7nsta1l......... .�1............}nch water sei vice pipe <br /> �/ ... <br /> For .. ..i:.::�a .=�C ..... .... ............�• ._.r,.!L.--=....................... <br /> . � <br /> On ..................................�.1...r.`/..:.� . �:�:�.:lt:..:�:r:<:. Street <br /> � ......._. .�: <br /> Lot.....................�....�............................ Block No..................................... <br /> Addition ......................................................................................................... <br /> - � ` <br /> Remarks a�t?�!�:.....�.ti<.u�/......_..r�iX.:..�:r:cs.:?.—..........•................. <br /> �- <br /> ............................................................................_............................................... <br /> ...........:.....:.......................................... . . .. . ........................................ <br /> ;'o_i�-e ,, <br /> ............ ..... <br /> .. .... .....�.... ....... �.0.. ................��/ .........................---(••---...... <br /> �L�... . . / <br /> ' ~ � N '� �•U–�.�L'! �.l(.a� <br /> . ' � .........lL.W..... ................."'".............. . <br /> r... �:� <br /> ' Suy2cintent2ent � ,,, � <br /> - ` . . -�� .� .:;���� , � - <br /> ' `i�: �R ��. <br /> LABOR AND MATERIAL IISED � ,- <br /> �dx 6e�F <br /> Na Size �P``#��„1` r• ' <br /> _ — JqS�sk 22iX :.��:.�_�-.. <br /> ..............:......................:..:....�..... Lead Connection Cemplete .:��... <br /> .............�............................::........� F,ddle Complete <br /> ...............2.i:..ft._..:-.;.................... � ....................Pipe <br /> �.................................................... <br /> '�`�._7i::�....� ScrviceCock <br /> .................�...........�... .... <br /> .................:..........._t...._!....:......... Service Box <br /> � <br /> ,.�r '. No. Aours Labor..............................................Cost.................................................... <br /> �- � �_. Cut in....................PavemenL....................X........................ <br /> ........................Sq.Ft. <br /> - , . <br /> , , <br /> , ., <br /> . , .................... ........................ ....................... <br /> � ...................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> �-- -- <br /> Bemarks..............: :...�:• . _�;......:..:..:......_............................................ <br /> ... <br /> , <br /> .............::�:.:._�:..;:...:.....:......: ............................... ........................................ <br /> ...................:.:.4..�.:.:.=...:.....::.....:.................:::..:...................................----.......... <br /> OrderReceived.....:............::...:::................................................._................/ <br /> \Vork Campleted..r�.�%�,;::. � , . .': .�.:.:.�:..:.:........ <br /> ....:........................................ . .. <br /> Foreman <br /> t. . <br />