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'!: J. PRICO[�4� � � � <br />W. �. I"ONM <br />`j� r' -. <br />. i (.� <br />C�ITY OF EVERETT--V�later Dept. , <br />���: %'', / . , <br />Application No.�..`.�.........`'::: Date........^...:.. � ..:..................:..........19...... <br />`� i/ // • <br />- , Install.._-�.;:: ...............mch water service pipe <br />�..r. � � ' ' '�� 1� � <br />For ` . .� .. . <br />.............._'` ....:....��%. ,...... _ .._--..... <br />. .... ...... ............................ <br />� � �." . � �'..1 ::..:........ ..t'..:'..C.. ::._:.:.ct -. . Street <br />i <br />Block <br />. <br />� �iicion .......::........................:....................................................................... <br />f . / i ' <br />marks .........../.�._...""...1.L...._rZ.�.... ... ` :..:..:.....::.-::-C_-:._.•�- <br />..................:. ......................... .......................................................................... <br />�. ... _ 7. �^i.. _�...:.: ..... �. � : .................................................................................. _....... <br />, • <br />/l j} (1 " y ' . <br />.� . ...................:...:....,f............._.....................--'--......................... <br />= , �, ; .} � ; f..,�.........-'. � <br />.......r.._ ............................................................... ..........5......;.......... - <br />�...�..:� ; . � • SuI� t�5,!{�dent �� <br />/ - / v / r \�// /' <br />LABOR AND D;ATERIAL U9ED <br />, <br />...................... �.......::...I Lead Connection Complete <br />.........:..:......r,:'.:........, Saddle Complete <br />:..tt......:.:'::.... �F.:.i . r ....:........_........................................................Pipe <br />, <br />_o ftl.i F [•i r . <br />.... �s.:. erv�ce Cock <br />....... :. ....:.. -_ . , <br />� -,. <br />'' .C�.:I. . Service Box -. � � � � <br />....... .. .. . . ..... . <br />�- -- . � . � ' , <br />, , , <br />_............_ ................... . ..........:..................,......................................._................................ <br />..............................r...................................................._.._..... �................. <br />� . . � , � � . i� <br />, , , <br />..............................�.....,......,................._....................:....:..:........ <br />. . ............ <br />L _.. , <br />No. }iours Labor ..............................................Cosc........................................_ ......... <br />Cutin ....................Pavcment....................X....................... ........................Sq.Ft. <br />...................X....................... �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ....................... �q. Ft. <br />-- ------ ------ <br />Femarks..........._ �..... �.:c':....:..� ... :.........:......i..:...._................................. <br />, ......... <br />�i � � � ,,, , , �_�> ; --, , , � . <br />...... ' ' <br />�..... ......................... ...:.......:.............................:..................:.... :............ <br />, ., <br />� ., :. ... ,i <br />........L ............................................................................................................. .. <br />�. <br />Order Received. ...`.:�.;_..?.:i'.�!..�:::.':' ........................................................... <br />,� , <br />\Vork Completed...:..:::�:..::'...: .:-:..0 ............................................................ <br />Fui mnn <br />1 ' . , <br />