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WJDPForns�:;.a�s�/ I � . - � 'rij�� <br /> CITY OF EVERETT--Water Dept. <br /> .lpplication No...I.�I.1.._�0..... Dat�.......................�.2....1.:.7........19J� <br /> Install...........�.�.Y........inch wa er service pipe <br /> � <br /> For .............. .. � , . <br /> _. ..�................ ...... ' ...:..:.::c,:-.........,---"'� <br /> ........................ . . <br /> . . ...--- <br /> G.._�. . `. ' "j., .�.._e� ......---- S`_eet , E. <br /> O�� .................... L_J.........�:::::...........�,.... <br /> ... .................... p�,�V <br /> Lot.............._.................................---.......... Block No�l.�:.t.:�:..:(J.��?,.1?...R /a.' <br /> Addition ...................................................:. ' <br /> _.................................... ...--- <br /> Remarks ....... ...��..s,:�:"..5.:':..........:.....:..:..:..:.:..:.:..r,�, � <br /> (� "` .. ....:.........._.. ......... , ..._.............._.-�--- <br /> ,��e �. .....{� .. �(�,v.... �.., _ -._................. <br /> ... .r <br /> /l. -(L4l � <br /> . �,. <br /> .. . .... ' <br /> - .. <br /> � �� ........... ...........�:�. .......................::..iti................ <br /> .,, ' , f - ............................................. <br /> _ � <br /> 2 /9.-�i8...........rL.. ...................:�..._..,. ..3,.�.....................__..„...._..... <br /> •---.._.. <br /> 'y a ','' : � - <br /> � :ti. � <br /> __.......... .. . . ........................�. <br /> ................................................ .................... <br /> . �'z Superintendevt <br /> '-- -- � _.�— <br /> LABOR AND IiATERIAL USEU <br /> No_ Size <br /> ........................ ........................._� Lcad Com:eclion Complete � <br /> � S8[�(��C �.'OI11D�ClC <br /> ._.............._.._ft. .........��(.............� .......... ' ... .. _.✓�..............................Pipe <br /> d.s�....... <br /> Service�I <br /> ...................................................... Scrvicc Box <br /> No. Ifours Labor..............................................Cost.................................................... <br /> Cutin.__._..__......Pavement...._.._..........X....--................. ...._..........._..._Sq.Ft. <br /> � � ,., <br /> �: ., F ....................X........................ ........................ �� <br /> r `� ` ���J � X. <br /> ................... ....................... ........................ <br /> � • <br /> f / _ .�. T I .........._........ �� <br /> f ........................ ........................ <br /> J Total <br /> ........................Sq.Ft. <br /> -------�- —— ------ <br /> Re��:arl;s.........................._................................_............. ..........._.................... <br /> __._.........._....... ..........._........................................_..........._........................_.... <br /> _..._................ ...... . ........................................................................................... <br /> OrderReceived............................. ................................... ..................._. <br /> ^ � _,, . . <br /> / ... <br /> �I'ork Completed�........G..�..-...�.�.......ti:%.��� '.c.-t� :,r. <br /> ..>r...... ....... <br /> Foreman <br />