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5 �.�:,.,M,.� � 9 9 � � L-� q <br /> w.u.ro�� e 9 � / <br /> CITY OF EVERETT--Water Dept. � <br /> / � � <br /> Application No...(�..��....�.�... D�t ........................-`4-i.:�.r.�....1�� <br /> Insta11,.7...`��,� ....inch wat�r service pipe <br /> ........ <br /> For .........................� . ..L1.. __"�_ <br /> . .:.. ....... .. . ..•-- - <br /> ................ --....... . ......... <br /> ...... . ... <br /> On .................. � . ....�....... v`�—� ` Street <br /> .............:-......-•---•--..-.-.................... <br /> Lot.............................................................. Block No............_...._................... <br /> Addi[ion ....................... . ... . � � <br /> . . . <br /> ..... ... ........................................)...... .- --- <br /> Remarks ............ ... +,,..t.-�,c/a._� — �. ,/ ��G'„ �_ <br /> -'......................................... <br /> ..................�I.........�....---..................._......_........_......_c1�:._�.�-.:..��...... <br /> - ��- �-------------------- <br /> ..........�.�C...-a:rtt.....c.�:.� . � �'. _�=�7.r ..c-rL.�. — <br /> ..........,,,._. ....... ............... ......._.._... <br /> _............:.. ..�?....................................<.:LL.................. <br /> 7 , �, .rl......... ....... . . <br /> ...........i......:`..,(.':,�..^..-`�:t.....:......::::.._t!;..��.:��l.t..:..._!.,?�................ <br /> ..-�•-� <br /> Ci � Sy�j''�d�t"� � <br /> _ ' �+`9 �i�_^^-? <br /> LABOB AND MATERIAL SED � �:'L[,� <br /> No. � ... �Q_ _ S . <br /> ...................... ......�a. ....`. . ].�ad Connection Complrte <br /> l �ddle 1:omplete <br /> `. <br /> .................... .... .... ...�.�I'.. ... <br /> ..................... tt..: ..... .... ... .......................................................................Pipe <br /> ....._.............. ......^..r^.._<�'g�...... Scrvice Cock <br /> .......................... ..::.::..��....�.. Service Box <br /> ..............._................... <br /> ........................................... ......... .............................................................................................................. <br /> ........................... ..........................I ................................................................................................................ <br /> DIa. Hours Labor..............................................Cost................................................... <br /> Cutin....................Pavement....................X......._............... .......................Sq.Fl. <br /> ....................X........................ �� <br /> ....................... <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ .� <br /> ........................ <br /> 'Pojal ........................Sq.Ft. <br /> - �--� -�---��-�r--� <br /> 1 / � . , . :L. � <br /> Remarks�... ...�}�..�:...,.,t;:...:........:...:.........:.:::...............................:............ <br /> � i � <br /> . <br /> .......................:.............................................................................i..`..:_..._...... <br /> ..._'...: ' <br /> �. . <br /> .................... ........................................................... „ ._ ......................... <br /> Orderficceived......,:�......................................_._...�....................._.......... . <br /> \'t�or}: Cotnpleted.._::...:.:........:....:...:..t_.'................_..................................... <br /> � � Foreman <br />