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e.:� 'wi�ei�ii� � • O ' ' ' (OOln.J <br /> w. o. roww a <br /> ITY OF EVERETT -Water Dept. <br /> Application No.....1�1�n Dat ..,.........��`�,,. .!.�3...19aS�`' <br /> . <br /> ....... <br /> / / Install,�.3 .. ...........ir.ch tv er service pipe <br /> For ................L�L%nrtt...:..�:... C-22c.<_.i-� <br /> _. ..................................................•---........... <br /> On .--•........:..............�1-��--•---...............-'.-.u'.?-�..................._........ Street <br /> Lot................�-•--.........�......-�--- . . ..1.. Block No........_.—........._........... <br /> - <br /> Addition ......�.r.��tu..... ..��,.�cL.yX�....�...�............................... <br /> Remarks .....................................-----� <br /> --....._...................�-----......_................. <br /> ......::::....:..................................................--------........................_.............----.... <br /> �� <br /> .........:............................... .. ..----�--........................ <br /> ... <br /> . `� b ........................................ <br /> C' ^� <br /> ..........""'...............�...... . . . .. <br /> ... .... ......."'........"'.................. ��/' ) <br /> . .6 --. ../ .. <br /> ...... <br /> / �- '-1 f. � ' _� _L:......:.........�f� <br /> , ... .��.'�. . ��t�"-� . . -"............"""......._... - P <br /> \/ 'p� :�o� �... �`�f/� I�� Su erintendent�j' <br /> -'.�%"p ` .'"i — <br /> -'-�' � LABOR AND MATERIAL IISED <br /> No. Size � <br /> ........................._........................... Lcad Connection Complete <br /> ..............................__................_.. Saddlc Completc <br /> ................_....1t._.__'._.�................ .....�......::.................._._. ........Pipe <br /> . ....._................... <br /> .......................:..........�..'.:r.............. Scrvice.Cock , <br /> .._..............................�................. Scrvice Box <br /> ....... <br /> .......................... ........................... ........i....................._............................................................................_. <br /> No. Hoers L�bor..............................................Cost.................................................... <br /> Cutin....................PavemenL....................X......._............... ........................Sq.Ft. <br /> . ...................X........................ �� <br /> � ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> Tolal ........................Sq.Ft. <br /> ------------ <br /> i. , . . - . . . �. <br /> R e m a r k s............................_.............:..............................................---._.::_........ <br /> ..................................:....................................................................................... <br /> ........................................................... ................................................................. <br /> OrderPeceived......................................................................... .................... <br /> 1�or�_ Completed:::.::L..:..:....:......................................:...::.:::.:::....................� <br /> Foreman <br />