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orm7 1000 11.10.I/ <br />CITY OF EVERETT..-Water Dept. <br />PPlica[iun No. .�. �,,� n[e.... k't.t,..�... . <br />A S <br />y „ /oi92.........7 <br />,{� t� °/°� __ u inch wa[cr service pipe <br />For .. _ � y J. <br />�. . . �j . . . . .... . . . . .. <br />On o a� _ <br />.... ... _...... Street <br />Loc. ......... 3.._. .. BI«k No.........�.% ._ <br />3..._............ <br />__ .. <br />ition .................... . <br />. ....................... ......._... ............................._......... <br />........... _......_.. <br />Remarke .................. ............. ...... .......... . . <br />_ ................._.._, ............. ....._... ..........._....... <br />_ ......................__ ... _....__ _ _ ........._..... .. ......__..._. <br />...................._ .......... .......... ...._............ ... _ ..... .._ .. <br />.._ ............ . . ...................... .............. <br />._. .__ ..._ <br />/ ___.. <br />... .._ �.°.� : �.: _ <br />_.__ .. <br />_ Supetlnemde .. <br />- �_ - - -- =- - - � - _ . __ _.���.I �'�—r� <br />LABOR AND DIA'fERIAL USuD � <br />---- <br />— -- <br />-- <br />o. Size <br />.. i 7 --".--- --�----�-- � _ -... <br />_ _ .._ _ _ <br />""""�"" "" �r '!�t . Lend Connection Complete � <br />....-.1.......... i �YX6 .I Sn�jdle Cpmplete <br />........�I.......... ft � . 3!t. :: �:.cvkY�.......... <br />. - J, ... . ......................Pipe <br />.........- �_��:r. ..;�.. .I Scrvice Cock <br />........_l......._.._. �i _�...:._o.:t :... . Service Hox <br />I .. I _ _ .. . . .. � . .. . . . ... ... <br />. ._. . . ..... <br />— _ _ _ ..... .. . . <br />—�—__— -- . _. _ . <br />_a`_if----------------- -- -- <br />No. Houre I.abor .............i:.�........._,.....Cost. �... ... <br />. _ ............._............__..._.. <br />Cut in.......1:;:;,...G.:...Pavement.2:.f.a�.t.`. X .............. <br />. .._.. . ..._..........._. Sq. Ft. <br />....................A....�.................. ._. ,� <br />.................... X_................... _. .� <br />.................... <br />....................%....................... ., <br />................. . <br />Totul _....._...........Sq. I't. <br />-- — __- ._—.—.: <br />' _— �-- --�--..-_. <br />Remnrks.dlaterial Slip Ivo� �_�'�n __ <br />a�� � _ _.. <br />. r,r.t�z+��r-e .n.rc, /�� ti�.�.�.u�.... <br />_.. _ _ .. _ _.... <br />_ __. <br />, <br />Order Received <br />_ _ __ _...; _ ... ..�...� <br />\�ork Completcd �f . _ � v : � <br />_ _ �...; E�✓c�%dL <br />��' Forcm�n Lo, / <br />