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- � � � / / � � " - �` � �� <br /> w. o. ronu a <br /> CITY OF EVERETT--Water Dept. <br /> Application No��-ll..✓.... Date..........::...:...:.....::.i:.................19.�::: -. <br /> __, <br /> � Install.......:�:::................ .inch water service p/i�e <br /> For ..°.��.. n....�L=L.lJ..u:Y..y.�..._. '�c° v_—1�i...,?.C:�5..(.....:. <br /> / . , i.'." <br /> / 7�'.. _... <br /> -.1^4.�"r ?�L..(�._.,���.t:..c�.r_�..... Street <br /> Or. .........................,....._ ............ <br /> 7 f +... <br /> / �� �� � <br /> Lot.......1...�-........__--........--............... Block No....:C.::=---..¢'.......:.... <br /> Addition .../................................................._..,.:i....................._....................... <br /> Remarks .�C.:�z�:f,.._.�.c..:�_Tl'✓..�.;.:_�:��_..:.,-�s[r_............................. <br /> _................_, �:zc.<.:c-l.... ..._�2::.5 c�-.^..,�/a`-*y`_................................... <br /> � /' f _ i'l'C�/L� <br /> ....................................1:............................_.........._........."""".................................. <br /> � � <br /> � � <br /> ! ( <br /> �'/ � ..4 ........._ / ........................._.................." <br /> ........... .. ........ . <br /> ............ ....... ........ <br /> . �' i ' � ,- I � . <br /> _:.:.....C::..._ ..................... ...................... a�.�.�.�.�.:�._c...t_::_..�5.:_�:_-�=i <br /> � ySupe�intendeat <br /> / <br /> 6 � <br /> � ' /'—�(.. '/=. -�/ G1�__ <br /> LABOR AND h1ATER7(�L � SED <br /> No. Si2e __ _ <br /> -- <br /> ..................................................... Lead Connection Cnmplete <br /> . .......................... `�_�r,dle Complete <br /> .......................... . <br /> _.�......ft......:..................... _........i_..........._......---_......._............._..........Pipe <br /> ................. <br /> ...................._'........._�.'..i............ ServiceCock <br /> ..._..................i............................_ Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Culin....................Pavcmcnt_..................X._..................... ......................_Sa.Ft. <br /> i � ....................X........................ ........................ �� <br /> i �/' ;-��� ' <br /> � ' .................... ' <br /> � � <br /> h........................ ........................ <br /> ; <br /> � - ....................X........................ ........................ ' <br /> Total ........................Sq.Ft. <br /> --- ------�- -� --- -- — <br /> Rema�:ks.......i...:::........�::.:.......:__:.�:.;..:..:....................................................... <br /> ,�......:.�.�,..c.:x..`:.........._..............................................._........ <br /> ......................... <br /> OrderReceived................................................._..._-..,_....................._......... �� <br /> .. , . i , . r_I " , i <br /> \Vork Completed...::.......:!... 7_:si.C...................:.:.:.:..c.�._..:.<.:....._...... <br /> . � F,oreman <br />