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S.J prieM�M�-�619s55 7 � ' � � • . �.. . • <br /> w.b:ro.m a �� �; <br /> � ' CITY OF EVERETT--Water Dept. <br /> �lpplication No../......1.�.1..��. ..... ate.......,..��--•�- ��g...............19!.c� <br /> - Install....`N�.�_........._..._:nch water serv.ice pioe <br /> � ,u ;=. <br /> For ...,.:.�:-t.::�z�.r.�! ...... .-.�. •.�i�:t....'_................................................. <br /> o�,"" ' .�. . � l .:.'_,,::�' •- � <br /> . _.. , <br /> ..,........_ .��.,w:a.�:�.t.:..i.:.. ......�:.........:............................. Street <br /> Lot.............................................................. Block No.........---..........---•---........ <br /> Addition ....................... .. <br /> '- -� - <br /> - - . . <br /> ,........................f...................................... .. .... <br /> Remarks .-•----... .. .�� ,. ie.:... <br /> .......... .......'-----..:......... s----.........----...---.......... <br /> .................................� ---....................................................-•---.......................... <br /> ........................................................ . ...........................................�•---................. <br /> ..... _......................_....................---.......... <br /> �....,..i-"' -" "..w................................ <br /> , <br /> ............................................................../�� t� .t;.r� <br /> . ... ."•""""'............"•_"""" <br /> r '����Superinlindent <br /> LABOR AND MATERiAL II86D <br /> No. Size i <br /> '----- ---- <br /> .............._.................._.................� i.cad Connection Comple�e <br /> ......................... <br /> ..................� S�ddle Complete <br /> ._ __..:............it.......:::�:::............. ..._...`.,.:...:........................................................Pipe <br /> ..........__........................................ Scrvice Cack <br /> .........................._......................... Scivicc IIox <br /> i�?o. 3lours Labw•..............................................Ccst.................................................... <br /> Cutin....................Pavemant....................X...............---...... ........................Sq.Ft. <br /> ....................X................... ... �� <br /> ....................... <br /> ..... ............� ........................ ................ ....... <br /> �� <br /> ....................X.. .................... �, <br /> .................. .... <br /> 'fotal ............__........Sq.Ft. <br /> ------ ------_ <br /> _— __ <br /> Remai•ks............................................................................ .......... <br /> ............._... _..._..........................................................................................._... <br /> ............................................................................................................................. <br /> OrderReceived....................................... .................................. <br /> `r.:...:............ <br /> lVork Completed..��.L.::./.:.1_T....'._.... : c c� �.: <br /> .................................. ............... <br /> Foreman <br /> �• <br /> -�u�`�'air�t.�-i �-t�_�*� r�� � �.r <br />