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' 9 <br /> 5.7.�»b�N�55,D <br /> VJ.D.Poes f <br /> CTTY OF EVERETT--Water Dept. <br /> l ?o�i `��=-' � �� <br /> Appllcation No..................<..... Dat .............. .........:..................._.19...... <br /> Install................S��J.........inch water service pipe <br /> For ................................................................... ......... ......._..... <br /> On ..................._.`.�. � � Z /YS.F:�,��......._...._..... Street <br /> .......................... <br /> Lot.............................................................. Block No........_......_.._...........__ <br /> Addit9on .......................................................................................................... : <br /> Remarl�/,.:'..............................�........---..........---...._......_.........._.....•_---•......... <br /> � .................................._......_....... <br /> .. .�........ ................y..,..:.............. <br /> ....... ... . <br /> ' '�-r r <br /> � � ;�..�, .f <br /> .............:....................:...................................................................._......_.•_•--... <br /> ...................................................................._.................................._.....-�---_.._... <br /> ............................................................_............._......................_.._......_:._....... <br /> Superintendmt <br /> �Q- <br /> LABOS AND MAT6RIAL IIBSD � <br /> No. Slze I <br /> ...................................................... Iwead Connecdon Complete <br /> ......................._............................. Saddle Complete <br /> .......................ft_......................... ..................................................._...................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Scrvlce Box <br /> ...................._.... ........................... ..........................................................._................................................... <br /> ................_....».. ........................... ...��...................................................................................... <br /> No. Hours Labor..............................................Cost.........................._....................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X..........._........... " � <br /> ......._............... <br /> ...................X........................ .� <br /> ........................ <br /> ....................X........................ ..............._.._... " <br /> Total .......................Bq.Ft. <br /> -------- -- ....r...„.; . <br /> � ^, / i <br /> . ' � <br /> Remarks. ' ' ' ' <br /> .....::......... ..........t.._:.........:,..�........... �..;..................... <br /> ` , � � . <br /> _' � „ <br /> �_21^C�YY'�.........��{'.�::C.........�... --�'..:.1�?,«^:,�� i <br /> . .... <br /> ................... <br /> . .. .... <br /> ............ <br /> / .. .� ... <br /> 4C ,{� r_trt' 'Y . / <br /> Order Received................�..y.::.�-?.......:_�f.�....................... ....,....... <br /> VJorkCompleted........................................................................................... � <br /> Foreman <br />