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� 2 ^/ :,_ <br /> 5 J-vri�bNplq.4fi� �G • .• .. <br /> W. U.Form� . <br /> CITY OF EVERETT--Water Dept. <br /> 9pplication No..�l��.'.�. f�..'.: Date../.�'�........�....o..........19.�/� <br /> �_-- Install._:.��...:_.`:....... ..........inch water service pipe <br /> FUi ...._ ...,/...� :'�'�, .�.::..............��l:C..:."::�..:�' - " ' <br /> � �................... ... <br /> Gn7-- 7' 1...��...---�--..�c.:l�::.::�:r 77'" .......... Street <br /> ....................../................ .. . <br /> LoE..................../...C_---.......................... Block No.........._-a.-�--.......----- <br /> �ddition ..............�?.....................�.............,�..��................._............ <br /> Rmnarks ..........�..✓'r��.i.::.cr..' ? �.i.�....:_. <br /> ._.... .............:..:...-�f . : r <br /> . ...... ...._.... ......... <br /> . � <br /> ...............C.................... 1......................s,_....,...................... ._......---.......... <br /> .` , � r. �' ...�,: <br /> � <br /> �<:._.`....'.�.:.....J:�tm..:...�Z::...�::�............ ..:._�......�.................""""'............ ' <br /> � • <br /> 1 ' <br /> . -. <br /> �t ............. [�I.�.. ..... .. �! � I._.....u"'..._'... <br /> ) �} ' "".......... <br /> // �/ / .. � _ <br /> /l. -.,��_� l! �' ����1� C"�..(.....f��' � 1 . (i <br /> .1.......... <br /> .�..: ........ .... .. . .. .........�..... . , ..�......................"""'...... <br /> � ,,..•+�' ��= Superintendent <br /> :� , <br /> LABOA AND MATEAIAL 036U <br /> No. I Size � <br /> --- -- -- — <br /> .....................................................I Lcad Connection Complete <br /> .......................... ........................... Saddlc Complete <br /> .........ft............................ ........................................................................PiPe <br /> .............. <br /> ...................................................... S:rvice Cock <br /> ................_......_............................ Service Box <br /> ..........................�........................... ................................................................................................................ <br /> No. Hours Labor..............................................Cost................................................... <br /> Cutin...................Pavement....................X........................ ........................Sq.P't. <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Totaj ........................Sq.Ft. <br /> --- — -- ----- - <br /> ' ^} ' <br /> Remarks.. . ..� . . .�..... . .� . �;..t(?.::�...�.�.c:.A.........� �� ............. <br /> ,�.�.. ,�......._ , ... <br /> ................ ..........................................�:......:..................................----...... <br /> ................. ........................................................... .................t........ . <br /> . ....... <br /> Order Reccived.......................,_..:�,C.�.�..,;�,.?�.:.�.�..� �f..... <br /> � <br /> R'ork Completed..�..�......-r�..:....................... - .................................... <br /> / r`.r'c./ �,t, � Foreman <br /> Y .�" <br />