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W�D.Fob�1�I196�35`/ � � � � 1 ` �� • <br /> CI rY OF EVER�TT--Water l�ept�`� <br /> �J � <br /> Application No...�� �:`� "� Da ... ./,�`'----19� <br /> .. . <br /> ......................... ... . . <br /> Install....,-..:-Y.:._.`.�...........inch water service pipe <br /> For ��(.<�✓ ��:�.!..:�:J::'_'.._!._-' ---- <br /> _............. .................. �---�----....._. <br /> �.-�' , . , <br /> On .._ ...............�.�..�.�..--5_-:::�`�=:_-...::•...._�C...�:..............._- Street <br /> '_` '.-- <br /> Lot........._....�.5 ...9-::..�--�:1.._................ Block No............-------......_........-- <br /> Addition ......._.......................................--.........,......._...... ......................-- <br /> Remarks ..............�:1. .:5..,�..:!:`:.:.:... ---.:... ...:....'.:....�....._..-`----.__....... <br /> ..........................-....... - .........................--......................-.-..---��----.............._ <br /> .�... ..�... .... .... ....................... . <br /> � .. ,j......,���� �..................... ............... . . <br /> , , <br /> , ��-=:....... ......... ......................�� _; . , <br /> �� � ��, - � Superintendc�t / <br /> ��,J - ' � � — <br /> , � � ., ' LABOIL AN ?dATfiRIAL USED <br /> No. Size I <br /> .... ....... . ........................I Lcad Conneclion Co+.nplete <br /> ...... <br /> Faddle C�mp.lete <br /> ' .......................ft............................ .......................................................................Pipe <br /> ...................................................... Scrvice Cock <br /> ............................ <br /> ...................._....� Scrvicc Box <br /> No. Hours Labor......................_......................CosL................................................... <br /> Cutin....................Pavemcnt....................X....................... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ <br /> „ <br /> ....................X........................ ........................ ,� <br /> Total ........................Sq.Ft. <br /> __._—_.._—_ <br /> Rer.:a:ks_....`.i.._:.....:..............................................._......................... - ......... .. <br /> _.............._.'._................_.........---............................................................--� <br /> ....._................._... ----.......... - -- ......................._................................. -- <br /> OrderReceived._........._..................._ ........................ .._....................... <br /> \'�orlc Completed..-- - .........:......_...._................... --........- _..................._ ' <br /> Foreman <br />