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�- <br /> w. o. ronH;/�'9 7 3 - % � � � <br /> CITY OF EVERETT--��Iater Dept. <br /> Application No.I....'..%..j:;�.... Date.....��ur^ / �� � <br /> ....�.......,i............19...:_-3 <br /> / 7nsta1l._........V - �� .inch water service pipe <br /> . <br /> , . � <br /> ............ <br /> For ..`..J�:.�:..c:_<......_--j� ,.. C.:.t..f.Z.,::�..:..................... <br /> . ..... ... ......................... <br /> .. . / , ... <br /> On ..............�, ./...��-.- ././_ ...v.��t�:::f'-�.:`.�.</.. <br /> �=::....... Street <br /> Lot..........,L�i........................................... Block No.........--......................... �, <br /> Addit ion <br /> . . . - - ' <br /> ................... ... ....... . ...:.......�...................................................-- <br /> Remarks �.L�:xr�,,_`Zt.s.cl:�!.��-.4.. 't.r..r'-1.'.:.................................... <br /> ................... .�U..�,-v._Z%.�.L.J".......1�....... ... <br /> ....................................•--�---- <br /> • ' �ta 1 <br /> ...........v........�.... . � <br /> . ��...................�. .............�.. <br /> ^ � .................._......._.._.... ��...... ...1.,� „�;.. ---' ...-- <br /> , ... ....... . ............ ........ <br /> \� ir�. ............. __'E, ..���, -.,..'.1F.v.<..� <br /> / ... ...............f..�.✓..�!..'............................... �L.. <br /> .. .....� ..........�..........__'....... <br /> �l `� • / /j� Supecu:teadent <br /> ------�/� J/� <br /> LABOft AND MATERIAL USED <br /> _ No. Size I <br /> ...................._._.............................I Lcad Connection Complele <br /> .............��:................................... e Complete <br /> 7 <br /> ..........�.._:..�.. ft.::`:>:................. .•.... �, .', i;- • Pipe <br /> .. . .......... _...�............................................. <br /> ..................f........�.',.:.:............... Scrvicc.Cock <br /> .....................�1......_..._........._...... Scrvice Box <br /> No. Hours Labor..............................................Cosl.............................. <br /> ..................... <br /> Cut in..........____..Favement....................X........................ .Sq.Ft. <br /> ....................... <br /> . , , . ..._...............X. <br /> �. (�r < -....._............... ........................ n <br /> � � � ....................X....... <br /> ......_......... u <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> _ Total ........................Sq.Ft. <br /> ---- ---- --- <br /> R e m a r ks.....c:.'...:'.....::.t..._::....:..:..:................. <br /> ............................................... <br /> � /i <br /> _. ..................::....,.:1>.s.c,:.......:.......i,.:.:....:....:'. -:. <br /> ................................................... <br /> , <br /> ......................�....,:zz�..c..!......._....._.:.,.:..:..�.�...,:::,............................................... <br /> OrderReceived.................................................................. <br /> ............................. <br /> . , <br /> 1Vork Completed..�.j.r...< ...� - ' ' �.� <br /> yT .�..�'.._.... . ..........::......._...:. - � <br /> .............. .. <br /> Foreman <br /> tr: . � <br />