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w. r: renw a ���7/ �,/l� / '-% '� � <br /> e. .t fni[ec <br /> CITY OF EVER�TT--Water Dept. <br /> Application No.(.�."...7./.... Date...��C:t C� '�-�� ._--.--..19_G/ <br /> . .............. <br /> � / � 7:�s all....................�....... .inch water service i e <br /> � Fc�r _...... .z'�..... ....1....(:.t::t::�eL,Z.,?_:�",,i..�.:f.....................P.P.. <br /> On ......:�..�5'.::f-. .. F:.-.�\.-z°:1.r..s.�-r.3.<:::t:�:—t.r�£1:: - --. Street <br /> .__�^`�—( 1 <br /> .............. , <br /> Lot.........:::..:.............................................. Block No...........---....................... <br /> A�iclition .......................................................................................................... <br /> Rc�marks ........................................................................................................ <br /> ................................................................................................... ......................... <br /> ........................................................................................................................... <br /> . .................................................... <br /> ..............._c . . . <br /> � <br /> .....................'...... <br /> .. ........ _ _ <br /> � ' � <br /> ..................................................................... .. . �..._..............`.-.t..'�.I..............--- <br /> � n 5j�erfntendent <br /> = i"���."t't�-�-u� <br /> LABOR AND MATERIAL U9EIV <br /> No. Size � <br /> ...................................................... :.ead Conneclion Complele �— <br /> ...................................................... Saddle Complete <br /> .......................it............................ .................................. ..................Pi P= <br /> .................... <br /> ...................................................... Srtvice Cock <br /> ...................................................... Service ]3ox <br /> � No. Hours Labor..............................................Cost.................................................... <br /> �� Cut in...................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ .� <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — -----'- --- <br /> Rem arks............................................................................................................. <br /> .............................................................................................. .................. <br /> .......................................................................................................�---.................. <br /> OrderRecei�•ed............................................................................................... / <br /> \Vork Completed............................................................................................ <br /> Foteman <br />