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S.1.P��ebeM'NM3� �� <br /> 0.'.U.Form] <br /> CITY OF EVERETT--Water Dept. <br /> � � :-� " ; �y . �, , <br /> Anplication No�L.�::.,/� Date._:.:�::_�::z::-:.......:.................19....,1 <br /> . <br /> Install..._...........:...............inch water service pipe <br /> For • <br /> _.............--.......................---....... �,,.. <br /> . . ,.; ,.,. , <br /> . , , . � �-�.,. _. : <br /> On /...,:.'.r. � _i..<:....._r..::...c�'.'.:�.'.fi::..(...:.:...:.4.:...:.._.:. Street <br /> ...... <br /> -:' / � <br /> Lot...-J.r.z`.-.-- .....:...:....................:.... Blo k No.__-----.......----------- <br /> �,� F i� .i �S , � . . <br /> Addition .............�.................:....:....:-- -'--..'..:�..:_.:....-•-�---�---..... <br /> Remarks ........................................... ........................................................... <br /> _...................... -..._............................................................._... <br /> _...............�--..................._..............--'� ..................................----.......--�--- <br /> .......... .....__..................................-- /. ........_..:,...,......-�------.............. <br /> .... ...s <br /> _ . :_.; i� <br /> .:..):..:.�:..:..._!.'.....:...-• --�---.... <br /> ._.........................................................�.. ,,, ;��! SuPerintendent <br /> L�1BOR AND MATF.RiAL USED <br /> l..Nn. S:ze _ -- <br /> ... I .....��� <br /> _......................... � Lcad Connection Camplete <br /> _. ....................................... Saddl�Complcte <br /> � �� „ .:.Y�- �� � .... . .... ...Pipe <br /> _ n �t � <br /> � . � Scrv}ce Cock <br /> _ � /�i � � ti x � , <br /> l � � y°Crv�ee Box� . <br /> ._. c.¢ -3 1'�n: � . /! � �r , o ���e.�. �It� i . <br /> 1 �, .:_.. <br /> ...... <br /> ...-� � �, ..,.( ) S�� I ��� �FJ E('I' >l. <br /> 'i . ...... .. ..................... <br /> - ........ .. ...... ......... � <br /> _........................ ,r...... , <br /> _...... � �....;.... „ <br /> ._ � .N a.- � -.-1:J.a.:1:.�':��.�..`.-:-: <br /> ..:..................:�v..k...�.... ............. .........................................""""'"'"""............. <br /> 3� •' " ,, '.................................................................................... <br /> �-............. ... .>S..�°...... ............................ — <br /> .............. Iy�� <br /> ��� ve: 1 <br /> No. Hours LzUur...................................._.�:....Cost....._.��._�.�..1................................. <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ' ....................X........................ ........................ .� <br /> . � p. ; ....X........................ <br /> _. � �� ............... ._...._............... ,� <br /> -�;t� J .j �7 ....................x........................ „ <br /> Y' � ' Tolal ... ..........�.Sq.Ft. <br /> �- — <br /> Remarlcs._ ..._.................._..................._......_......__................- - ............. <br /> .................................................................................................................... <br /> _................--- ................._..............................._.._..........._.............................. <br /> OrderReceived .._ _._.............................._.._............__........................ .. <br /> R'orl: ('ompleted ._..._........................._........_....__-...................._........ .... <br /> Forema <br />� <br /> 1 <br /> � <br />