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• w.a.'eo�� ��r/ � . N <br /> � �. S.J.TrOC �� <br /> CITY OF EVERETT'--Water Dept. <br /> . z; -_, : <br /> �` <br /> I:�t t - i'_.,a� ; <br /> --- I _ .------•--�'----19—-. <br /> APP ication No.--------Install._ Datc/:�---•-inch �vatcr scrvicc pipe <br /> For --- -- ;--• - �- ,-- ---- --- - --------• •-------•---------- <br /> On- ----� �/ i � ; , � <br /> _..-•-�--—�=��'-- --—`-----•------•-------�---- Strect <br /> Loc-- --------- •--• ----------- BlockNo--- ------ -------------- <br /> Addition ..._ ..-••-•---•-•---—•---- --------•---•-•----- ------ <br /> Remarks ____ __________ __ <br /> ---- --- -------•-----•----- -•� -•-•---- <br /> -----------•------ •--------------- �--•--•- ------- ------ •---- <br /> > � . <br /> -•---�•-- —-•...... .... .... . <br /> ' , � sur�dmen�cm'- <br /> LA[302 ANU TIATCRIAL UStiD � <br /> No. Si:c --_—__ __. — --__._____— —__--. <br /> .---.--.""'-' -""""---". Lcad Cunncccion Compktc � <br /> '-"."""'___ """"_"__. Snddlc Complctc <br /> ""-'2"-ft .---/ � '-" _--.L-- `'i ------Pipe <br /> � � �/ '� <br /> ___'._• """".'.'.___ $cn•icc Co.� ._"_".'__.. <br /> .f_"' <br /> "'_�'_.'...._. ��C-u1r1�f- Sc/rv�icc Ooxl� .� ,� • <br /> .."'�._"_"" .- � •• '.i"_ 'LS..�,Q:�]clC,r._-'�".4�/A'v��.`�_'._�__""""_'_ <br /> � / <br /> ------�-------' ���L-��-`t:=--.�c_..5..�_r^-���._:.-'---------'- <br /> __"' . <br /> Nu. Hours Labor_"_".,_"'_""�-Cost._�:;�t"' <br /> '__""""""""'y'"' <br /> Cut in.""'_'....Pavemcnt.""'.'._'_X"'_""'_"" ""__"'_""S Ft. <br /> + �� <br /> "__""" """""'_" _"'__""'_""" <br /> / �� [� 1�` .__""""'a '_'_._"""' _____'_"__" ., <br /> ��j,It� : � ---- -------X-------- .. <br /> '�d �1 �b Total -'-'- -'_.-'__'.-_'_Sq. Ft. <br /> Rcmarks------'--------•-----�-'-------- ----•'---- '----- <br /> -'------------- -- ---— �------� ---- ------------—-- ---------- <br /> �-----—-- ---------------------------------------------------- <br /> Order Receivcd ___________________ <br /> --- ------------------— ----- <br /> Work Completed------------- -------- <br /> ---� ------------------ <br /> Furenwn <br />