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��S.JF.bNM•r.,g����� 0 . r . _ . . .. <br /> VJ.u.Pom�J {�� (f'_"' • • . ,. 'r � � <br /> R�ITY OF EVERETT--Wat�r Uept. <br /> -� , ' �. ,_i� <br /> Application No......LL.4°..."�i.L? D�t�............:........:.:.....� J•----.19...1 <br /> . ........ <br /> ` , ,. . � <br /> ._(..tJ...:;_i.::.�...z..;:L....:. ...:.......:1...........mch water service pipe <br /> � Install............:.... : �. , <br /> • r . <br /> For � `J .:...:..........:1............ <br /> / �� . . y......."'............. <br /> On �i:..Lr---�..7.......1..:�::�..'.�.:.�. <br /> .:....:.'. -' .,_ <br /> ............... . ............c:.�,......... StreeZ <br /> ....L. i <br /> Lot.................' ,:_.........................----..... Blbck No.......---........_................ <br /> Addition ..............��L+c��:.:Gc, %1_-r . , l,i, <br /> .. ...._ . ......:......�................................... <br /> .... <br /> r <br /> Remarks ..........--�.................................................'.. <br /> ........:........_...............---... <br /> ..........:......a_..�.�`.....:.�..�.'z.-- I-.............__......;:%;•�---.�...........---.................... <br /> .v......�.......... ........................._....... <br /> /'. �.\. . I........................,..:..:........�/"..i..._f..)......._....... <br /> � � � .., . <br /> � ...� ��- . , . � <br /> t....., ..�.........� -� . ,: . .f..:�.:?...- <br /> S�perintendent <br /> �: ,,� - r <br /> ," �,' ��. . ..,:� < <br /> •'� � � �� LABOR AND MATERW, II3ED �`� . <br /> _ No. Size � <br /> ----- <br /> 1..................................................... Lcad Com�•xtion Comp:etc , <br /> ..................................................... £addle C�mplete <br /> .......................It............................ ........................................................................Pipe <br /> ............................................_._..... Service Coik <br /> ..................................................... Scrvicc Box <br /> N�. Hours Lnbor..............................................Cost................................................... <br /> Cutin....................Pavement....................X........................ ....................__Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> J , Total ........................Sq.Ft. <br /> Remarks:,..7..�° .�....� / ' , — <br /> . .. ............................. <br /> ................. ............:.........�.............................'...................... <br /> ........................ <br /> ............................................................................... ........................................... <br /> OrderRecei��ed..................................................................................�----......... <br /> ;, � � � ; <br /> l�'ork Completed.......::.....:................: .................._................................`..�... <br /> Foreman <br /> —��. �m <br />