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/ � � .�� <br /> . o. rouR :�� ,� . . <br /> CITY OF EVERETT--Water Dept. <br /> Application No..�'..:�'.....:...::.:� Date.................::!....._..'.................19....< . , <br /> ( ..........inch �vater service pipe <br /> 1;Mtall...... ......... . <br /> � _ . ��........�_.:.......::��..:._��. ; <br /> ; <br /> , <br /> For _'.v........._.... , <br /> ._.. ........:..:._:............................. <br /> , ; <br /> _. , i /.� <br /> ':� ' �..:.............. Street <br /> On ...._..:�_�.L.C........_.'.._:_:�:,:>........:_-..._........_�..... <br /> ` /i <br /> Lot.......................................... ................. Rlock No.............._...................... <br /> Addition .........................................:....._..._............_....;.._.................- -....... <br /> i . <br /> Remarks ..................._....._....�.....�-- ...:..:..::- ...:....:.._.::..... ...- _.............. <br /> ............................................................................................................. <br /> ...._......._........-..............................._........................._...�- ...................... <br /> __.............._........- .........._................ ........................--............................_... <br /> _..........._.............................. ... ._..__............_.................._........................--_.. <br /> Superintendent <br /> LAROR ANll h1ATCRIAL USED � <br /> No. S�ze I <br /> — --�-----L---- —� -- --- �— <br /> .._.................................._......_...._I Lead Connection ComPlete <br /> ._..._................_.........._........._....�� Saddle Complete <br /> ....__...............f t..........--'-'-........... ..........................._.......................................Pipe <br /> .__._......... .................................... Service Ce.4: <br /> _......................................_............ Ser:icr Box <br /> ....................... ......�...��...........I ..��......�................._......................_........._.�......................_.._..._....�.. <br /> No. N.ours Labor._.........._..._..._....__.............Cost.............................._........---......... <br /> Cu! in.......__.._......Puvemcnt__......._._.....X............_...._.... __Sq.Ft. <br /> ................... <br /> ...................X_...................._ „ <br /> ........................ <br /> ...................X..._......_........... ..........._........._ �. <br /> ..................Y........................ ........................ �� <br /> Tota] ..._...................Sq.Ft. <br /> ___—____—_..__.-___... _-.____ _— -- <br /> Remarks................. .._......._..................................... ............ _....................._ <br /> ........._..... ...._..........................................._.............................................. <br /> ....................................................................................................................... <br /> OrderReccieed._..........._...................._......................_... .........._............._- � <br /> � \�'ork Completeu. ......._..............____.....___.._.. . . ..... ...__............_.. <br /> Foreman <br /> ! <br /> � � <br />