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/ L�� ✓ <br /> 5 J-Prie6e:!_�.461�5 � � � �, . <br /> W. G.Form 3 �� �� • <br /> CITY OF EVERETT--Water Dept. <br /> „ , :. �- � <br /> A• ]ication No.: ..._:....t.......�ate ......._. .. � � <br /> %• 'i �� . / . _ . <br /> dP .... ...`_......:._--.._19...... <br /> / ii.. <br /> Install.... ..�.....................inch tvater service pipe <br /> ; . <br /> For ............................ -............._... ............... .......- ..�:......----........ <br /> , , . .... <br /> i <br /> ;� <br /> . , � <br /> �G— � i"'� c���. / '� � l <br /> On .. - ........................_........:-- --...".r.::.� .................- ......:::::,...._.S�eet <br /> r, , ,; Lot..... .......... ....................._...._..�..... Block No............_------�----��--- <br /> �` . �aa;c�on ... ,:.. . ��... . ................... .. ................... .. ............. <br /> ; Remaiks ..� ! .:.. .:.. . .........................----........_•- <br /> � � <br /> ' ... . ......-'.... ................ ... ..----. ..... <br /> l <br /> r� >� � ti � � / � � ' <br /> ... �---... <br /> � ,� <br /> ; � . -e:r.l .,,. �:�. ...---� . � ----- <br /> . . .^., .... �„ __�. .::..... ..............,� � ...�... � � ........ - ................ <br /> � '7` �5" ' °1 '� ' ' � �� $uperintendent <br /> �. . . ,-�1 . .. .. <br /> 1��;�:� - � � i��' ��"- <br /> I,AB02 AND biATERIAL USED� � <br /> , ' Na � Size ! — <br /> � — — <br /> ! '� . ................... ....... . .....� Lead Connection Complete <br /> � � � . . �. . ...................................................... Saddle Complele <br /> �. � ' . . ..._..................ft............................ ..........._....._.........................._........................Pipe <br /> � ...................................................... Service Cock <br /> ...................................................... Service Boti � <br /> No. Hcurs Lnbo��..............................................Cost.................................................... <br /> Cutin._...._...........Pavement........._.........X..................._... ........................Sq.Ft. <br /> ....................X........----............ ........................ ,� <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ �� <br /> Total .......................Sq.Ft. <br /> — -----— <br /> Remar4s........ ' 1 �' , , <br /> ...1.""........... . .....:....:.....:.....'....""....:........................................". <br /> � ' <br /> ...................._..................._..:............._...........................................................'....' <br /> ........""............................:......:................................................................................ <br /> OrderReceived - ........... .... ..._ .......... ........................._.............. ..... <br /> \Cork Cmnpleled._f:.�G.-So <br /> ..........................- -�-.................. ....... <br /> Foreman <br />