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_ .�Go �j 7 . . ��-���� <br /> w. o. ro�r� a <br /> CITY OF EVERETT--Water Dept. <br /> ApplicationNo.�;.�i�,/.... Date........{k`..�r.�-�.................19.G�' <br /> l .. .inch water service i e <br /> Ia�tall.........:�,.✓..••--- P P <br /> _- ' , . <br /> For ..........�::-�t.;�..:......L'�.:�:r.r.:�=...._ti.....:................-•---............. <br /> : � / � , - <br /> 't'";�'. — � . ..��_.....x.�_. Street <br /> On ..................................,...c . _:r.� <br /> ��, �-....................... <br /> a .-, <br /> Lot..................":::.%............................----- Block No.................---...............-- <br /> Addition .......��-ac��.%�:�-......................................................_ <br /> Remarks ,s�-�::r�r.z.<...�......"°..,/.,�� -,,.r-.�'{---...._..................... <br /> .......... . . . �...�............ <br /> -�::z.:�' ��'�xi,.,t::,._......------.. <br /> ...... ........--...............---...................... <br /> ..._..:.:........"..........................................---��-----........_.......................................... <br /> ? <br /> ......:..............l�.. ..... �F..............................-................�........... .. . .............. <br /> . �/�..... /J . //�l <br /> �' � , ...................................1/.....,/.�......�...�:�.Tr..... <br /> .........:........�......��,......�.._.... .p <br /> � / Su erinten�nt <br /> �{ i1= ��� <br /> � LABOR AND MATERiAL USED <br /> No. ' Size <br /> --- <br /> ...............�.........� ,r�'.�:)..y.... :,ea�2mmcct� <br /> �............ q. <br /> ............../...........,-y..:-'.�:.r:4...9 ,swau-e�m►�— <br /> .- ., <br /> ............�4....ft. ���:_..:"._5.:2..`:.''_�:.:..................................................................Pipe <br /> ................ la_....�I.ift.tf:f� Sarvice Cock <br /> �.........., <br /> ................�..........�...�'i. Service Box <br /> ...............�........../..f/..._!��... ............................................................................................................... <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 /> r".• �,: ,- . , .� ,, <br /> Rem arks..............::...............................:........_.:.::.............................................. <br /> ..................:.....:..7..�.i:B:L.....L.}!..�.'.:i.t.........................................---... <br /> .......... <br /> , ,.. <br /> �,�..i.-!�:....�c.,�e..c:. .....�/:z?:'?'i............................_. <br /> ....................... ' ......... ... .......... <br /> p .�� �!Y..:�.............��:..::..............---.................. <br /> Order Received....la�/!.�f.. ...Gr.a'................... . . <br /> \Vork Com leted..��.:���. . .....� t...:l.:I..:rt���'.�'. .. / <br /> Foreman � <br /> c_ . <br />