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w. o. ro�w ��/ I , � ' ' ' / Y� — Y� �''-% S <br /> CITY OF EVERETT.VLlater Dept. <br /> Application No...�..(F'././... ''��te......(..."�. 7 �- <br /> � ..............................19.. <br /> � 7asta1l........�;�'._„,,,_._,.incli g•eter service pipe � <br /> For ��...F.......�%.....5. , ;..?.::t,rc l <br /> ..........�: � L�. ��.:..: <br /> ... " i i _....�. :.............. �,...........- C , <br /> On ..................5.-i:...:� .�...G.t........��.�1'xc�.c.✓.:.,.�.�'.L�.t Street <br /> ' Lot....................L�_�:............................... Block No................ <br /> Addition ..................... <br /> .......................�..........._� <br /> Rem �.;: .................................................... <br /> ...<.: .� � <br /> . . <br /> ' t/ //r ":4ve..(.��/'.... .......�.._-!l---•.� <br /> S <br /> , /. <br /> ............................................. <br /> ... .....c�«�r,a........(L.:.�.G,�.:=:r.c..............� . <br /> , �� • - <br /> ...................... .... ��3•/..................................... <br /> ..._,.��..�..�.._._c�.C..l.::'........... <br /> ;�..........�.� S � �,sJ"�............................._`.. <br /> ........,........................ . ��u <br /> � s � •,^c / �<<; +c.�C....:..........._.:..................�.. <br /> . •'_" <br /> � ,......... <br /> ....._..f. — ' <br /> . <br /> ... .............. - . <br /> .... <br /> ...........................................L... .(C<�.. 4C. �_��. � <br /> � .......... ........� <br /> ' -- /` uperinte�(dent <br /> ����` �itC�! -c . <br /> LABOR AAD MATEftIAL U ED <br /> _No. Size <br /> """""""""""""• ..ead Connection Complete <br /> .......................... * <br /> ..............................,, .................... Saddlc Complete <br /> �,�,,� . �:�. <br /> ............._..:....fG. . <br /> .......................... ....................................................................Pipe <br /> ..................:r.:......._::..::.:�.:........... Service Cock <br /> .......................:...................,. Ser�ice Box <br /> ...................................................... .......................................................... <br /> ..................... .... .............. ..............................................................................................................-- <br /> ............I <br /> ....................................... <br /> ............................................ <br /> No. Hours Labor..............................................Cost......................... <br /> Cut in...................Favement....................X........................ ................... <br /> . ....... <br /> . ........................Sq.Ft. <br /> . ;. ' �� .. � ........._ _......X........................ <br /> ......._............... �� <br /> , � ....................X........................ <br /> . ............... �� <br /> ....... <br /> ....................X.. ..................... <br /> �_ �� <br /> Total ........................Sq.Ft. <br /> Remarks......... ./..:......�t..:. ;. — <br /> ..................................................... <br /> ................................................................ <br /> ...........................................1 :: .. <br /> ......��..:...:................................................................... <br /> Order Received......................................... <br /> .................................................... <br /> \Vork Completed..:::..........._':........ � <br /> .................... <br /> ........... . ............. <br /> Foremau <br /> c•. , <br />