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� <br /> a o�x�.w e ' •�,� ) G,/� <br /> � O � J / <br /> CITY OF EVERETT--Water Dept. <br /> Application No._�!.-Q--�..... Da ... .........._......_L..:,l....�.7..19.`�v <br /> '� � ...._.inch water service pipe <br /> � Ins .......... <br /> -• ._.. <br /> /� � j <br /> For .............�:...L�:�::.V.......... <br /> _.._.................................._......................... <br /> On .................�:�--'--`��='�•��--...--�i•'=---:_:7::' �:�¢ <br /> 1 �, <br /> .........,.L......._........... Street <br /> Lot.............................................................. Block No........_................._......... <br /> Addition ...................�............................._........... <br /> . . . .. .. .. . . <br /> ............................ <br /> Remarks ..._...........�.f..._°.-..:t_�.?.�.�!l.:_......... ........_.........._. <br /> .................... <br /> , ..� � . <br /> _..�.......:.:......1�`......................................._...........--- <br /> . ......................�-•---............_... <br /> � . .. <br /> . . , <br /> �;...�::......._ ::_t:..�:.-..:...........-_............._. <br /> .........J.............:.......�..................................._......_....._..._............. .�..._....� <br /> � ' .. <br /> .........:� ...,. _..� � aJ....�„�� <br /> .-� "; <br /> ................................................... <br /> ....."'......_................. . ...( .�«... <br /> Superinte�ent� <br /> LABOR AND MATBBL►L pggp '� <br /> No. Slze � <br /> ...................................................... Lead Connectlon Comptete <br /> ..................._................................. Snddle Complete <br /> .......................ft........................... ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> ......................-'- ........................... ..........................................................................................._................... <br /> T'o. Hours Labor..............................................CoeR.........................._....................... <br /> Cutin....................Pavem:nt...................X........................ ........................Sq.Ft. <br /> ....................X..........._........... .� <br /> ..._.._............... <br /> ...................X..... ....._........... .� <br /> ........................ <br /> ....................X.... ...... .......... .� <br /> ........................ <br /> Totel ........................Sq.Ft. <br /> ..-----�------� <br /> , . <br /> Remarks....._......:......:......:..:�....................:...: <br /> . ................................................... <br /> .........................................:................................................................................ <br /> , <br /> . . <br /> �.. - -- -� -- --- —--- ,................:..._._._..........�_ . <br /> .........:.:...::.............................................�:.-- e),;.r:-. <br /> Order Received..._........................_.........,.:.,........:........_....:....:.....:..i.:.:...... <br /> . ��'orj� Completed...:,...:...,....�C..tl.::'�..��:......._'.'.::.::..:....'....::..r.:... .... <br /> Forema� <br /> -� - <br />