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s�. n�icec I ���� <br /> w. o. ronw a <br /> CITY OF EVERETT--Water Dept. <br /> Application Nql.�.,'���.%.. Date.......�a-c�.`-..—../...�./..-....19Gi <br /> I�stall.........,./....::...`.....inch water service pipe <br /> � - <br /> sor .......:�/at._..��.<_:...��.f._.,�.......�.-sz.:��....................................... <br /> � 'a :L -r�.�s.f.�.�......................................... Street <br /> On .......... ./.......:.,-........•r. •- <br /> Lot.............................................................. Block No..................................... <br /> Fd�lition .......................................................................................................... <br /> Remarks ;%'L'�r.�::..::.�:l�-c��:sa..:................................................... <br /> ._.. <br /> / ;- <br /> ............<..........-.%�a:t.,�.G:........................................................................_... <br /> ......................................%�I �............................................................................. <br /> �7 3 <br /> . . . . . <br /> ............................... .......................................................... .......................... <br /> . <br /> m` o° �',�,9' ,f�_,�;rc., <br /> , ,, , . <br /> ....................... ......... . ..............._............ .. ... ....._.....� <br /> .i�' <br /> � ; ��(1� � � - Supetintende t <br /> ' � y -- --_ - Ir ��� — <br /> � LABOB AND TfATERIAL U9ED <br /> No. Size I -- <br /> --- <br /> ................................................._... Lcad Connertion Complete <br /> . ......._........._...._. Eaddlc Complete <br /> ......................... . <br /> .................l...ft..l..... ...:........i.............:..........................................._Pipc � <br /> . .................. <br /> .......................... Scrvice Cock �� <br /> ........................... . <br /> ........................... <br /> ........................... Scrvice Box � <br /> , �� <br /> ................. ..........�................... . <br /> . .,................................._........................................................................... <br /> No. Hours L�bor............1........%..:...:�...:..........Cost..........................._........._............ <br /> Cutin....................Pavemcn:�....._...........X........................ ................_.....59.Ft. <br /> ....................7C........................ ......._............... <br /> �� <br /> ....................X............._......... ........................ <br /> �. <br /> ....................X.................. .... ........................ <br /> ,� <br /> Total ......................59.Ft. <br /> -- --" ------ :� — � i � . -----�_.-• <br /> -- � .., <br /> . ., _ ., , . .. . � <br /> Remarks..._........_.....�.:�.:...,.�............_:_�....,..._..............._......._.�.............._ . <br /> . . .. .. j.:.... . .............. . <br /> . ..... ...._.............._.._ ............. . .... <br /> ................ <br /> �.�j�:-.........::��,-�-.�..�...�1�..1. .1.�.��..._...................... � <br /> ...... <br /> nrderReceived..................................................:....`.................................... <br /> �Vork Com�lcted.:.....(.:,�..::i.:..c.s.:�?:L:��,,.,..-�. ._....\.................... <br /> F �� _ �� � �ornman <br /> 1 <br />