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J.'J. PNIC\l�30 98 '�' `�i � " <br /> I <br /> W.U. fONM� <br /> CITY OF EVERETT-�-Water Dept. � <br /> Application No.�'�:.9.`... Date.......��c j.....:�.�............19:�..`- <br /> Tastall..........:��..�..'......inch water service pipe <br /> For ..................... �-n.-:�:5"-.............................................. <br /> �=.:2:s:L'.......o�......,... <br /> �� "� " ��`�� ��' . Street <br /> On .................�.............---....,........................:_�.............................. <br /> Lot.........................�:................................. Block No...............—................. <br /> Additi�n .......................................................................................................... <br /> Remarks ......�J.t.,'e«,........�e.-_x-.::.-.::m............. <br /> -----...............-•------ <br /> %' �'-- <br /> ....... .tL.LC221.Cc.r.....l.�S:�i q�U...L<<f:�KF.(.v..—.l..bZd�9:.4:....................... <br /> ........�....._ea��i...;....4:4c2.�C........................................................................ <br /> � � I <br /> ..............=..:............:.....�,.�1.�� <br /> ............................... <br /> 11Ji, '.;y�•.,�^' � `% ....................`...../�.._.............. <br /> .._Gi.......:I.. ..,G,�....�.a..j y......_.............................J.Z..c.-�---1.......,:x.�... . <br /> �, �i^1,�,� � /J �, Superinten ent ...�. � <br /> — —�`� �• .i ,�<i ��� _ �9> c:N _ . <br /> LABOR AND MATERIel.I. IISED . I <br /> No. Size <br /> .... ............................................ :.ead Connection Complete . 1I <br /> ................ Saddlc Comptete I <br /> 1j' ........�................... <br /> ..............<........ft..._I.�f............. ' � ..........Pipe <br /> ....:::.�'....:.f f.:.................__............... � <br /> ...................:/ �7v............ Scrvicc Cock <br /> .................. <br /> ....................�.....................:......... Servlce Box <br /> No. Hours Labor..............................................Cosk.........._....................................... <br /> Cutip........... Pavement....................X........................ ........................Sq.Ft. <br /> '.; <br /> ���a z�y. . • .. ... X........................ <br /> . �� <br /> ............... ..._.._......_..... <br /> �'� ...................X........................ ........................ �� <br /> ....................X........................ �. <br /> ........................ <br /> Total ........................Sq.Ft. <br /> —T--- -- . ,. <br /> n , _ - <br /> Remarks............................4:.._..:.� : .^ . . . ...... <br /> _ � ,c.......c-.�.�`^R-�..`............ <br /> . ............................................�...:..�l.C.,.................�:........................................ <br /> .............................................:.[..1.1:3'�:�.l:..�................................................... <br /> OrderReceived.........................�...................................../............................. `\ <br /> � f 1 '���2. f.� \ <br /> lVork Completed..�`��...�G(�....................._...-.%..r..�..:....�......._c.... .. � <br /> - Foreman ` <br /> t\ <br />