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n .L �eint���1'°,�8 9 3 ' . � ^ �� �� <br /> w. o. ro�w o <br /> CITY OF EVERETT--Water Dept. <br /> //�j' �C' � <br /> Application No............... ...... D�t�......_....._._ .. �:.:.�/.......19:5.:' <br /> . ........ <br /> Install......._.�.�.l�..........` ch w er service pipe <br /> For ........................ ... ..........� . . ....�. .. ��7-................................ <br /> ,p�" ........... <br /> . ... ... <br /> Y <br /> On .................. ...................... <.:2�:�1.��c...........��,J.:.....-----..... Street <br /> -� <br /> Lot.......................�.�.lr......._......_._.... B�ock No........--•........_.__........... <br /> Addition .. •�'`�-e—'�� <br /> .........-�......... .. .... .....��.........................H........��.�;........... <br /> F.emarks .................. ._- ._:_---....::.C�.��c.L.%..,..�...�......_......... <br /> ............................................................................_.�-z�?::s.,:*==�a:.�............. <br /> .........................:.''---.................---.............-------.......---...............----...........----... <br /> ......::.c:...._:.............'� c.�....................................-----. '.•--- • . <br /> ; ,;, _ ���:�- ,-�� ... :..... � <br /> ....._...... ..:.._::..,......r�.....------..g.......... .........................................��?���_. <br /> �.\ j';� � '�� / �l ��0 Superintendent ��.. <br /> � �� iC l��.;L�J' <br /> '"�� LABOR AND MATERIAL D3ED <br /> No. Size I <br /> ............._.._................................... :.ead Connection Complete <br /> ......................................._............. Snddle Complete <br /> � it._....... .. .. ..... ..................................Pipe <br /> ................_..... .........................._. <br /> ........�.:............... <br /> ................./.......... ' Service Co:k <br /> .................._.................................. Scrcice Bwc <br /> No. Hours Labor..............................................Cost..........._......_.._.._....................... <br /> Cutin....................Puvement....................X......._......_....... ..........._......_...Sq.Ft. <br /> ...................X......-'---.._. .� <br /> ...... ..._.._............... <br /> ....................X.................. �� <br /> ...... ......._............... <br /> ...................X........................ .� <br /> ........................ <br /> Total ......._...............Sq.Ft. <br /> ----- -- <br /> Remarks............................................................................................................. <br /> . ............................................................................................................�--.......---- <br /> .............................................................................................................................. <br /> OrderReceived................................................................. ........................... <br /> ' ; � <br /> \Vork Completed..._;.....�.:...........:.................:.._..:.....::._�..:i.,.',��..�.�........ <br /> � .•Foreman <br />