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�/63 �: . � <br />0. �I. PNI[BC iM <br />W. O. IDRM 9 �� / <br />CITY OF EVERETT--Water Dept. �� <br />Application No......_��.�...�E:� <br />�,Install...... <br />� �: ,z.� <br />For ..............:.. ....................� <br />On .....................`�r.P�'...�..... <br />LO i ......... . ....................................... <br />Adc:ition .................................... <br />Remarks �� ?: �-� <br />....---..... _ ............ . .... <br />.*r..._ ' ................_c <br />�....�...f�(}' / <br />if'�S ..�....... 'T ....... . ........... ../! <br />l�i�� � <br />�5..�i�.�. n. <br />; ., ._r.....Yora... ` �........ <br />i �t}I IEf�yJ�'//.......� <br />��� G O �. � �"7�� <br />.inch water service pipe <br />/ ��'S :�-3// � <br />J— Z Z-� 7 7 LABOR AND MATERLIL QBED <br />No. i Size ! <br />..:��:.....�._Q_� � �L- <br />Superintendent �L <br />�. <br />........................._�...........................I :.ead Connection Complete <br />...................................................... Snddlc Complete <br />............�'....ft. ..._?��' ............. ...C�r . /�).,/.�.t,�...............................................Pipe <br />................._....1......��ci................. Servt@e�Ock <br />.............L.�.......................... Scrvice Box <br />No. Hours Labor ..............................................Cost................................................... <br />Cutin ....................Pavement.._.................X.........._............ ........................Sq.Ft. <br />�„�/�� , c c.a..ci ....................X........................ �� <br />w,�:� I�p <^' / ...._ .............R........................ ....... ............._ �, <br />sj�.n...�-n.P..�ii`.��,.�Z. .X ........................ �� <br />.................. . ...................... . <br />��'.�;i, �e""'el"' Total .Sq.Ft. <br />::. .� ............................... <br />.. t .............�.,.................. <br />.. <br />........................................................:...:::.!.......... _................................................. <br />prde±• 'eceiced .....................................................................:............� <br />, . , J!' -.', <br />• � , _. • - <br />\��nr�: Com�le.ed._..�e...._ .:....:........'...................._-:C...2.�..�;:.:..:..c.r....... <br />Foreman <br />