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���i8 = � � � ; <br /> L .L�I111[�[ 11 � � �) / ,� �� . <br /> W. 0.tO11M i � '� <br /> CITY OF EVERETT--Water Dept. , <br /> �` �_ , <br /> Applica4ion No...I...�.�...�... Date......._.:.`.::E:�::�_..:�.._......19._�J �'`% <br /> Install........:��-.�--..:...__..inch water service pipe <br /> ?- <br /> ............. <br /> For ........................ .. ...........-r--..............................---............_..._..... <br /> .... <br /> On .......:.=`...1..:�_C�......�...:'::.!.;.::!J....................................... Street <br /> Lot..................._................................_.._... Block No........_.._....................... <br /> Addition ' ' " " <br /> ................ ...................................... . <br /> ... . <br /> . ........ ........•- -- ...... <br /> l�o . � <br /> Remarks .._.:........ ........-•--......._.._........--•-�--•• <br /> ._.:�.' _....... <br /> .... ::�.�(...:`.:.......`.�/~ ..�..-_..--....._....._......_............................... <br /> � ... -- <br /> � ' 1 " '.:.-.. " � <br /> I � ��.......�.�l.L..._:.1,:.... �:.., .f ............. <br /> -.._....... . ,.. r.. <br /> ....................: : <br /> ......_.. <br /> � � � L � � �:..:..._-:_.:�.: <br /> .� ...........� ........_.......,�........... <br /> � ...............•.......................... Supermtendeat <br /> ......�....... � <br /> z�� / ��. _�-`_ <br /> LABOR Ai�D MATERIAi. D9F�l1 <br /> No. Size � <br /> ._.._......_.._. <br /> .,..„ ...................� Lead Connection Compiete <br /> ..............._._. <br /> ...........:................... Saddle Complete <br /> ..tt_. ...... ..................._.............._...................................Ptpe <br /> .............._.._. <br /> .................. <br /> ..................................................... Service Cock <br /> ............................. Serv3ce Box <br /> ...._ No. Hours Lsbor..............................................CoeG.._......_...................................... <br /> ...... .......................S4.Ft. <br /> Cutin....................Pavement....................X......_......_. �� <br /> ....................X.........._........... ......._............... <br /> �� <br /> ...................X..............._....... ......................-- <br /> �� <br /> ....................X........................ ........................ <br /> Total ........................Sq.Ft. <br /> ----- <br /> Remarks.....::.:.......................................................................�--.......................... <br /> ........................................................................................................... <br /> ......................................................................................----��---........ <br /> OrderPeceived........................................................_..........:..................... .... <br /> ................_........................ / <br /> \Vork Campleted...---..................:..._:.:............... Foreman <br /> t• <br />