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e. �. rn¢ec ^� � �/ / O <br />w. o. ronr a <br />CITY OF EVERETT--VUater Dept. <br />, . <br />, �• •-_ � ,� ,, <br />Application No._:� .:................. .Date:.............................,:................19...... <br />,_ Iastall.....` ::.:....................inch water service pipe <br />, , <br />For � 1 ,. ^ ,..,: � ,,...� <br />,. � <br />...................:...... .......:....:...................i.......,:.:.::....:................. .. ....... <br />�t Q� � /�.. <br />On ......�J._�l'...T ........:..:...::.......•,-:.::..:.....:......:......:..............�. Street <br />� <br />Lot................�_::�.................�........;.......... Block IvTo.................................... <br />Addition + � i ..i. / ' ., . . �'� ' , / 1f �. <br />_ �, : <br />............................r..................... .........�......................... ......_.._. <br />Remarks ...........................::................................................................ <br />..... ....... <br />_ � -, . . . . <br />.<.:._.,..�....�....-e ...................✓...............'......:...! .. .:..%...':.:_:..............._................... <br />� <br />� <br />� <br />................� v ................. .................. ::.. .........k.�....:......................................... <br />' ; . <br />� � J ' <br />.......1 ..:.......::............ ................................................................................._....... <br />/ ' <br />...................�................................................................-.......:..._........."'..:.:...... - <br />� Superintendent � <br />LASOR 9ND h1ATERIAL USED <br />No. i Size I <br />.` ..................... . .I...........................I Lead Connectian ComPlete <br />...........................�...........................� Saddlc Complete <br />... ..................... <br />Scrvice Cock <br />Service Box <br />No. Hours L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavemcht....................X........................ ........................Sq. Ft. <br />� . . . .........._........X ........................ ......._............._ �� <br />. . ....................X........................ ..............._....... .� <br />....................X........................ �� <br />........................ <br />Total ........................SQ. Ft. <br />Remarks..........................�._. �.:.....J..::t..:::..:................... <br />, <br />I <br />.. ................ .... _ _...............�...:: �:. .A......5..: :.( !.. _ [:......:.:... <br />OrderRecei��ed ........................................................ <br />...:.__, .. .:.:.:............................. <br />�,Vork Completed.?_'...�...:...�....Z .............. - %� ? L.�..:..:.7................. . <br />Foreman <br />