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S.1.Prtbe�M 7.;61�5 ! 3�� � <br /> W. D.PoemD � _:-�/ � <br /> CITY OF EVERETT--Water Dept. <br /> Applicllion No...1.�.�._t�.� Date�....................._.......................19....-- <br /> � In. all.....��:.���........inchlwater service pipe <br /> � . <br /> For ....._...........::�...�...1�...........��..:.'.�.-a:r�4_s�...._.............................. <br /> _ , <br /> On ...�!..�..�:t..�.........,,.:uC.':.'. : :� ..... Street <br /> . ..... ......�. <br /> Lnt.................. .......................................... Block No........................---.......... <br /> :lddition ... ..................................�............................................................ <br /> __ . _ '� ., <br /> Remarks ......._.>._�t.::::�::�:. r-.`.:.�.`.-ti.!::.........:..:.......:....::1. •��-..-�:2<1.-- <br /> .... . .................... <br /> ................ ...............................��..............�..............................---........---...G <br /> .......... ...._...,. . ............ <br /> ........�.. ...:..3 .... ..� ..��.r.�..'- . . <br /> . .. � . }.................... .. -..� . <br /> .......... ........ <br /> .. .........._ .......�:�.. <br /> �� �4 � ........�... � .... -_3� ''� .� <br /> ...._..._......... .. , , r — ,. � . , ,. <br /> . � �...'... . .............. � - <br /> �,��� �" � Superintendent� <br /> . � <br /> —�<L ;>�`� � • ABOR ANU MATERIAL USED " , <br /> _ No. _�_ Size � . <br /> .. ..:.�-ti��I �� --- - <br /> � � 1��::�..:�...�....... ......! T,end Connection Complete <br /> ...�... <br /> ....:�i . � ;� <br /> ._.... . �f � -�� I Sar.dlc Completc <br /> �... <br /> ................._..it........................._.I .......................................................................Pipe <br /> ...� � ��' ic�viceCock <br /> ... .. -' /�....... ... <br /> �....:....�-'�.._�i �..... <br /> ................................................... Scrvicc Box <br /> ..................................................... ............................................................................................................... <br /> ...........................I._..._..._........._... ..........................................................._................................................... <br /> ..................................................... ................................................................................................................ <br /> ..................... .........................� ............................................................................................................. <br /> i�o. F!ours i.abur..............................................Cost.................... <br /> ................................ <br /> Cut in.._................Pavemcnt........_..........X........................ <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................:{....................... ,� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ------ <br /> ------�------- ------ -- <br /> � ' ' -- <br /> Remarks._�/_s�...:....:..�....=:...... . __ <br /> .................._..........,....-............... <br /> ..................... , <br /> _..........._ ............................ .........�......................�:...�--................ <br /> � � • . <br /> � . <br /> .......... ....................................................._....c:.........._!.:...:............................. � <br /> OrderReceit•ed..... ............._......._._..........._.................................................. <br /> � �..........i. <br /> '�;ork Com,leted._�'.....:_:. � :.................................................................. <br /> Foreman <br />