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/.,�i c�� <br /> , <br /> w. o. ronr.� a �` <br /> �ITY OF EVERETT--�Jater Dept. <br /> Application No.�.._:_/�--:.. Date..............:�._..._.�...................19.._� . ', <br /> lnstall.......................:.......iuch water service pipe <br /> L : f � <br /> For ..... _L..L_.�.........-- i...._..:..._...:..-�; ._................__......_... .......... - <br /> , _ <br /> ;.�--- / <br /> On ..............._.......�.......-- ..,r....::.:....-........................................... Street <br /> Lol.......`....�.._ -�:..'............. ------ -... Block No...... ............................ <br /> �ddition ........................-----... . . . <br /> . . <br /> .................................... ......................... <br /> Remarks ' ' <br /> ........_1... ...:_.......:f:.�..:.._i...: ----�---.................... <br /> _..............................--................._•--.............-- ...................................----�- <br /> .................................................. -.................... ....................................... <br /> ................._..................._..... .._............_... ............._.......... -�--•� -.......... <br /> __.....................................- ....................._......................... ........................_. <br /> Superintendent <br /> LABOR AI�n TI.RTERIAL USED <br /> _ .No_ � Size � . __ _____ <br /> ...................._.............._.._....___...i Lead Coneection Comp:etr <br /> ..._....... .........._................._.._..._ Saddle Co�r,Plcte <br /> ....................._ft......_.................... ..._......... ......_...............................................Pipc <br /> ........._...................................._.... <br /> Service Cock <br /> ..................................................... $CL'J1Cn FiUX <br /> N�.;. Hours i.,sbor.._....._..............._.................Cost.........._.................._................... <br /> Ciriin......._ ......_Pavement_.................X........................ ........................Sq.Ft. <br /> ._..........._...X........................ ......._............... ,� <br /> ....................X........................ .� <br /> ........................ <br /> ....................X........................ „ <br /> ...._..._..........— <br /> Total .....__...............Sq.Ft. <br /> ---------�------- ------ ---- <br /> Remarks....................._...................._...................................................... — <br /> .................................................................................................................... <br /> ............................................................................ .......................................... <br /> Order Recciced.._. ......_....__.__..............__._._.. .._..._ <br /> ___ __ ... 1 <br /> \Vork Campleted__..._.............._ __... ......_.. _....__ .__ _._....._......... ....._. <br /> Foreman / <br /> - �� <br />