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. /;�'pg �'- - �i�7y <br /> w. n. ro,M � _ _ ✓ <br /> CITY OF EVERETT--Water Dept. <br /> j" � �=:./ / <br /> Application No..l:..1..�f 7. Date............... . ...........................19C:_� <br /> /� Install............_.................incli water service pipe <br /> . � <br /> FOi' ....... ..../:�:li:�.�c�.......�....�"�'...�.. ...............�...J _ .( ............... <br /> Or: ............E.<..���.........�.�2�.�,...:tc4:�t.::.......lc..�Y.c.s.�'Street <br /> I�ot.............................................................. Block No.............---..................... <br /> Addition ................................................. ........................................................ <br /> Remarks .................................. ........................... . - - - <br /> -- . . <br /> ................................. <br /> ................................................ ::�,.,r.�.��y�u ��:4!......................---......... <br /> � <br /> ............................ <br /> �.....,..................._................................................................... . . , <br /> i. �,., <br /> /..:........... ....��.........................................---..................._ .........................._ ! <br /> - ;_, ,. ._ ......................................... . <br /> �--�. ................................................ <br /> r � � F Superintendent <br /> LABOft AND MATERIAL USED <br /> --No.__i_��te I <br /> ...._...............................................I :.cad Connection Complete <br /> ......................................................' Saddlc Completc <br /> ......................1 t............................ ......................................................................_o i pe , <br /> ..................................................... Scrvicc Cocic <br /> .........................__...................._... Ser�iceBox <br /> .._....................... ........................... ................................................................................................................ <br /> ................................_.......� ..__......................................................................... <br /> ............. ................................ <br /> No. Hours Lsbor..............................................Cost.................................................... <br /> Cutin....................Fa��cn�,ent....................X........................ ........................Sq.Ft. <br /> ....................7�........................ ........................ �� <br /> ....X........................ �� <br /> ................ .... .............. <br /> ...................X........................ �� <br /> ..._ _............ <br /> Total .... ....... Sy.Ft. <br /> - �--- ---- ---- <br /> Remarks....................................................................................................... <br /> .......................................................................................................................... <br /> ............................................................................................................................. L <br /> Order ??.eceieed.............................................................................................. <br /> \Vork Campleted............................................................................................ <br /> Fureman <br />