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\ <br /> S 1.Prie6e1M7A6�� <br /> W. D Form l r�. Q <br /> CITY OF'EVERETT--Water Dept. <br /> , • ' �_ � �� <br /> � / <br /> , _ r <br /> Applicaiion No............_�:.r......��Date.....:-:................l.._'�---...19.,_/ <br /> • Install....!.�s...................inch water service pipe <br /> Par -y � <br /> , ..................�...�.............,. ... <br /> ............... <br /> .................................. <br /> `�•���-`.................G1-i'1_i:.��.....................--... Street <br /> On ..-- ............. ...... <br /> Lot.............................�.�...........---....... Block No..........(.^..._3..�....--- <br /> rlddition ..............�:f�..............................._............................................ <br /> �"Y'� _f c, r • .r <br /> R�marks -=-+°--....::..:z.........:....:........................----------.............. <br /> ...............f. <br /> , _... <br /> ................................ ....�� � <br /> ........... . .........f............----..,��..4..�..�...r..�._ <br /> .... ......................................_....._ ..--- �.:. <br /> � <br /> . ..:.�: - <br /> - .......... ,........ �................. ... <br /> ........................_......- - � ...._..... . . - <br /> L �-....^....................... <br /> �� S/::.1�....r:.s_,�..�_-....................... <br /> .....................................�.- .--.... . <br /> , -� Supezintendent <br /> /' � <br /> LABOR AND MATERIAL USED <br /> No. Sivc ' __ <br /> ------- ............�I <br /> ......................................... Lcad Connection Complele <br /> Saddlc Complzte <br /> ........ ...........................................I . <br /> � �% '� �'--r'- �..:.................._........Pipc <br /> .........�.:-'......ft..... ;� � ___.......__....._.......:1.�.... <br /> 1' �/ 'I rvicc Coc �r � <br /> ............... <br /> i. s������ soY , ,, - <br /> ........ ..... <br /> . . 1...........�... Se <br /> ( _ <br /> .................................................. <br /> . �........... � !�. �n �\..�,. r'.::....:._S.f..:.�.:............... <br /> �, ; r. <br /> - <br /> . ..... ................................................ <br /> .....,: ...... ............ . <br /> ............... . ,.... ...... .. <br /> ............i.................................................................................... <br /> ............... <br /> ............... ?Io. I�Iours LaUor_..... <br /> ..�.Cost��:...7...`f................................... � <br /> ................................. � <br /> Cutin....................P:.vc�nent....................X........................ ........................S4.Ft. <br /> � ,�. ....................X........................ ........................ �� <br /> (�� �. a- , �� <br /> �,� � � 6��, ....................X....................._. .................._.._ �� <br /> '� ......_............X........................ ........................ <br /> . . Total ........................59.Ft. <br /> —---- <br /> .. .......................... <br /> Retnar s................................................................................ . <br /> ........................................................................................................................ <br /> ....:............................................................................................... ...................... <br /> Order Reccined.._:.._.. ..._ ............................r ..._._.........................� <br /> A -/-,. , ?� �;'' . � , <br /> \iork Comp!eted.s.l.....::....f:3........f..�......:'r.:...::...i....%z`.t.::'..".:..:......... <br /> Foreman <br />