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S.1.PrieLeSM7-:6�� �8 � • <br /> W.D Form] <br /> CITY Or EVERETT--Water Dept. <br /> Application 1�0._.:: :'.�.'.:::.�.. Date..... -- ................._._........._19...::, <br /> Ir.stall................_:.:-i.........inch water service pipe <br /> ; : <br /> Fc�r .................:....:.............--- ..._.:.._.....................: � <br /> � ..::�.-..--........ ......... <br /> i ;� <br /> On ... .............��- ----.............._-.�.............. ............:...._.. -- ...... Street <br /> -_---._. <br /> Lo±..._ ................. - - - ...... _........... . Block No..........................---...-�- <br /> Addition ................._. ..._..............----._._.._.---.................---........__.---....._.. <br /> Remarks ......_...:...:..........._- ........................................_...._. , <br /> ....._......................._......................__......... ................_....._.............._.......-- --- <br /> _....................... -- ............;_•_- <br /> --....... ...........__..- .... -----... ............ <br /> „j <br /> _...._ t.�...........-. ... :....:.......--....�. <br /> . f / ............................ ------. .._. <br /> -,�` ................................-- ..:.. ...._:..... ._'--- . <br /> . . .. ....._._..... . ..:.... ....._:.... <br /> � � � ; � � Superintendent <br /> ��( � <br /> �1�, � E1'i�ETOR AND h:ATERlAL USED <br /> 2_ a <br /> "NV�1`I°;.. Siz <br /> -- —_ — -- -- <br /> ;. <br /> � �'' L���d Connection Cmnplete <br /> .......... ......,..F :...... . . � I <br /> ............_, <br /> �.—........................_... Saddle Complele � <br /> ...... ......... <br /> .......................f t............................ ......................... ..............................................P i p c <br /> ........._.._........._.........................._ Service Cock <br /> .................... ......__.._._.............._ Service Bos <br /> tio. Eours Labor.........................._.._._..._..._Cost.................................................... <br /> Cutin._................PavemenL.._...............X.._..._............... ........................Sq.Ft. <br /> � ......_......._...X..........-........... ......................_ « <br /> ....................�...................... ........................ ,� <br /> ....................X.............. ......... „ <br /> ........................ <br /> Total ......._...............Sq.Ft. <br /> ------'---- ------ --- <br /> Ret:,arks.."=.'--'....:.-.:..................._.......... -- <br /> --.....--..........._ - -- .............--..... <br /> _ ....__. .__....._.................................--�- •-....._..................... ............_......... <br /> _.._....._......_... .......... ----................................_ ......... ........_.........-�•--.. <br /> OrderF.eceived...........__..............................._..................................,..._.. - j <br /> �,'ork Comuleted...:... ..............._..........:...... �� � <br /> ................. .... .. � <br /> - <br /> Foreman � <br />