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S.I.hiebe�ai7�� �5O ` <br /> w.�.e�i• ' - <br /> CITY OF EVERETT�Water Dept. <br /> AppHcation No.�l�.�.� Da ....�---.......r.r:...`P........I�.." <br /> I A�''J` f�..,�...,f•...... h water service pipe <br /> �( `.•�.t� . � .....�.. 6 <br /> � <br /> For .. ... .�lil................:...:..............l... L......: ..... . ...... <br /> On ................a..�e..�......... ... . ,.� .. .............._....... Street <br /> Lot...................................................._...---- Block No.---...._......_.--•--..........._ <br /> .�ddition ............... ............ : ...................... . . . . .. . ;. <br /> Remarks .....................�f�.L:S1....... ...G.'...1.?.?.1....._............_.......... <br /> ....5�.5.,��1�r°.............................._.................................._......_........_......... <br /> :: . . ..-� -- ... ................................ <br /> ;, . ,s , �.�;�" ���a� <br /> � :' .:.a�......_�l'r... ......................... ....�....a...,............._... <br /> ' y � / �/� <br /> � ......... ,/..<`.(J..::`.::!�s'(t'�C(..........l.. ...._C...C....�(n.��....._..... <br /> � � � ,� /�,� SuperintendenS <br /> ;�y,�•+'y,,, <br /> \ � LAE06 ANR N.A'*BBU1L 8E <br /> No. Size <br /> .,.. ,.., .' . „ � Lead Cunnect[on Com ete <br /> j ,e.... .......... <br /> ..._.........._.......... ......................... Saddle ComPlete <br /> .........�...�..1! _..`...7...�..... ......................................................................PiPe <br /> ..................................................... Service Cock <br /> .................._. <br /> ................................. Service Box <br /> ......................_.............................. ......................................................................_........................................ <br /> ..................................................... ...... _ <br /> �� ...................._._ _....................... <br /> ................................................................................................................ <br /> : No. Aours I.abor..............................................Coet...................._............................. <br /> Cutin..__..............Pavement....................X.....__............... .......................Sq.Ft. <br /> ....................X........................ ......._............... .� . <br /> ...................]L._.................... �� <br /> ........................ <br /> . ...................X........................ ........................ .� <br /> Total ........................Sq.Ft. <br /> -_--- - ` ..- . � - <br /> ' ^ :, . <br /> Remarks..... .. � ......`::::y....:.........k:..`.:::......................................._.......... <br /> �l;_:.. <br /> .......................................:.................................................................................. <br /> ............................................................................................................................. <br /> OrderReceived............................................................................................... <br /> \Jork Completed,< �:...:`....�'....:.:'_:............................................................. <br /> Foreman � <br />