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S"/ Z � <br /> � <br /> w. o. .oa,� 3 - - , � -� <br /> CITY OF EVERETT--Water Dept. <br /> � �_��J ^ � / � <br /> ._, _. ( <br /> Application Nol�`.�..�. ... ,�Date......-:....._�i...........................19...... <br /> j�s j�..,_�,l�f......... ._._incl� water setvice pipe <br /> � . <br /> Fer ...�.. .:.-5r....._ ..... �.'.... <br /> ......�1.��.�............................... <br /> On .......'�`.�...��.�J.-.......��.(.:t.L.c�.....:.......................................... Street <br /> Lot.............................................................. kilock No.................-�-�---............ <br /> :?dcii:ion ............................................................1............................................ <br /> Remarks ................................................................................ <br /> ........................ <br /> ........................................................................................................................... <br /> _ � <br /> co ................................................................ <br /> ........ <br /> ` — ........................................... }. ._. ...�......_�--�---- <br /> .................... . ......... . <br /> _ .. . <br /> ... <br /> �...... ��� ' ' „ � <br /> � Z� ....... ...... <br /> ................ . ......................... <br /> .. ....A............................ . ... .. . Z ..... <br /> pen ende�, <br /> LABOR AND MATERIAL USED <br /> ------- <br /> Size <br /> .............a. <br /> .._..�Lcad Cnnnection Complete <br /> � Saddlc Completc <br /> ...................................................... . <br /> ,. ;..'.::..:..............__'..........................Pipe <br /> ...ft.. ................. <br /> .................... ..........................• <br /> ........ <br /> ...................._.._................... Scrvicc'Cock <br /> ............................ <br /> ........._............... Scrcice Box �� <br /> No. Hours Labor.............................................. ost................................................ <br /> ... <br /> Cut in.............. <br /> ......Pavcment....................X........................ ........................Sq.Fl. <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ...................... <br /> . �� <br /> Tolnl ........................Sq.Ft. <br /> _------------ <br /> Rem�rics......:.:.........:....:..s:..:.;:.<:................................... .._..........................._. <br /> _. ........_..................... . <br /> 7- ; <br /> .........................................................................'.................................................... <br /> Order �ecei��ed........................_.................................................................. / <br /> \Vor}: Camplcted.:�..:..,.'..:...:..r....:.............`......... . .:................................... � <br /> Foreman � <br />