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w. o. ronr+ 'I �� O�� • /�!'ry.. : �. <br /> CITY OF EVERETT--Water Dept. <br /> Application No�''..f.`'._�..... Date...............7..�.::t::.::'..�:::.........19.�.:,, <br /> ✓ , <br /> 71sta11......_�.�:.:.....:..... .inch water service pipe <br /> i, , <br /> � �- ,• _ / ./ 1. .� <br /> For ............ck.:..:...�:._.4.:;.4.�..::....�a._..1._....::.............:.............................. <br /> „ -. y�- . L. �' , <br /> On .............:�.1...-``---...::---.........::....:a.::.:::.:...�--:`:.................... Street <br /> Lot.................�........---.................---...... Blocic No.---................................. <br /> � � � — <br /> Addition ,�.:�c'. •.�_-r`......::.<.�c,l. .:..:� <br /> .. .... ..... <br /> Pemarks ......r..y�=.::.`- .��.,..«��.�� <br /> ..............._,.----..............---....................................----- <br /> l�%:.i._........ -��,'.��i:`�—� .................................... <br /> ..........................:�.-.�(:........... . - •�'.: � ...""'J.. <br /> .............................................................................."'............................"'....""...... <br /> . <br /> ................................ ,�...........................................................................""'...... <br /> ✓ 1�,E"✓� ' iC'� <br /> ...............��:...x�!.................................................._1/.t..f!-'--..r.....:'::%......-- <br /> P� �1� �G Superintendzet <br /> 1 > �: <br /> _:�, <br /> LABOR AND MATERIAL USED <br /> No. ' Size I <br /> .... ..... ...............�:.cad Connection Complete <br /> ...................................................... Saddle Complete <br /> ............�,.�G..ft...3.1L.�.............. ...C_.:l.G:�l:J.L.S..I..........................................Pipe <br /> .i J <br /> .................1...........3.,/1�............ scrvrt� c;ock <br /> ....................�............................... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> :� X...._ �� <br /> .................... .................. ....................... <br /> .� l� �O�..fi .tre .; � . <br /> i � �� <br /> , ....................X........................ ....................... <br /> ....................a{........................ u <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -- —--- -- <br /> / 1 '� .._ �'" �t <br /> Remarks.............1..:: :t/:/�.�.........�...�.�y.:L.,................................................. <br /> .. . .._....7.✓I11d.....-.Q:43.G....-�t.:�a.a.s.a.._.........................""".. <br /> ..........................7..,�t..t:�:�::�:.�.................................................................... <br /> OrderReceit•ed..........................................................^....,............................ <br /> 1Vnr;. Completed.L..::.�7.:::�..�.a.............._..,..:�.J�(.!.!s:,.�............. <br /> Foreman <br /> __�_ <br />