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w. o. rnnw,a I • ` � v � ��/� <br /> CITY OF EVERETT.-Water Dept. <br /> Application No.../_T.'�/v Da e.._ �. <br /> , ! �J� 19�-� <br /> .. <br /> �...._Tnst 11.. -5�. .... .. ".................................... . <br /> ' � c .... inch u•at <br /> F�r �........ ..... <br /> .. .... • .saJ.. <br /> .. <br /> e�crvice p'pe <br /> � / ....._ �.�.y:�hoJ ��_� <br /> On ......... 'j�(PCI / . . .�............................ <br /> .... .. .......�o........��/.�k,�.���� •- s i.,, <br /> _ .........`............ ............_....... <br /> Lot.................. ............_--� ...--- Street �t�. <br /> Addition .........� // �.............. Block No.............-•----.................. <br /> � .�-C���L,r._.�r..,.�S.,J. <br /> Remarks �'�"'"""' <br /> ................................. <br /> .........,�............................................. ..............................................• <br /> ................ . ........ .................................................... ................................. <br /> d Q. ....... .. ......... ..................................... .. ....... <br /> ... .... , <br /> , ...._..._ l .........--- � <br /> , d ....... -- �--....... <br /> �. ... <br /> ........ <br /> `. � <br /> . ......................................... <br /> . .r. ,�..�..J.� .. ...... .... . <br /> ........... ............ <br /> l x......... rx.,/ <br /> , ,, ................................. <br /> ..........k...�.. . �� <br /> .................. <br /> _ _ Superintende <br /> L`�RnR AhD NATERI,�1�, USED <br /> ---'o. Size <br /> ..........................._.........................I Lead Connection Cor.�plete <br /> ..................�..................... Sad ]e Co <br /> ............... <br /> ..... <br /> ft..._?i; . �,� 7�Plete <br /> � �_�................ .... .. L.� ::��-. <br /> r <br /> .....................�.... ,� � .................................................Pipe <br /> .....'',�:..*'... ServiCe ock <br /> ........................ <br /> ............................ Secvice Box <br /> ...................... .......................I ......��--..................................................................................................... <br /> ............... <br /> .. ........................................................ <br /> --� ............................................ . <br /> No. Hours Lobor................... "" <br /> ................. .....Cost................... <br /> Cut in..... ""' <br /> ._.........._Paver.mn t................... ....................__..._.. <br /> X........................ ........................Sq.Ft. <br /> ....................X........................ <br /> ......._............... �� <br /> ....................X........................ <br /> ........................ �� <br /> ....................X........................ <br /> ...__........... „ <br /> --z-----_- ,Total <br /> -, �-�r',— ........................Sq.Ft. <br /> Remarks.................�...r..1.(,,>. �., <br /> � <br /> ,-5 �1....... r.C::........_...�...-- <br /> _ _. .......... ...................... <br /> ............................... , l� <br /> .._.:��.c:�..:..�.::-.�... . <br /> .::-�-..c.�. <br /> . --........_.........._:k�. -`c. �......_................ <br /> ���........w............................................................ <br /> Order Recei��ed.......................................................... j <br /> lVork Completed..7.`_'-?.G -(, 2. ' _ /��...... .. .. <br /> ... .............. <br /> .......................::: <br /> r <br /> . .... . ..............'.::�............. .. <br /> Forem�❑ <br /> -r_-_'- <br />