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� y���.��.,� 9 3 3 � � 3�; <br />w. o. ropw � • <br />,J ao CITY OF EVERETT--Water Dept. <br />App$cation No.. �l.l._-3:? C� c' I i 3,19.=..'.'3 <br />...._... Date......._ .......................'.:.__... <br />/� j�� ••.•;�l ••••• .'?._`.� • .inch water service pipe <br />For ...............(.l C�........7�k1_-zc.�:�:Y�.., <br />U{ r /� L,i �1/.1....... <br />c c ��-C • �E. ......,.-...-.._.._. <br />On ..._...........:� .................._.................. . :\C:t�kl aLiEEi <br />.... .................. .. <br />Lot......._',.'1.Q. �......'.',�t : I_iyp.:,�...__....... Block No..... ._:.. ....._. �1 G � L. ,- : :� .t <br />� •� 1 G`i...__....._ �t -., ' <br />Addition............._l�. '.. ...�............-•---•..........................��:.... <br />Remar c?`y.. � S. lt CC ' i � T"'' ................ <br />k6� .......... .... ..a.. ...........:....::.7.1.t:.:t:c.................._....d_C.:l.::.�c.c_Z.� <br />. �, <br />.................:..: .......... .....� <:.........................................................._......_........... <br />......................... ... �%',a.._..�......---........-�-•---�--.-............................................. <br />. <br />�CT t953 �d ��.� .................................�........- <br />.......... ............. ... ....... <br />` � ' 3 u c' • • ..... <br />� <br />� Crrt � <br />--.. <br />� ........ .....,.... .................--•--....... <br />.i i <br />................................._ .....---.................. �c�.:. , ,-�J <br />Superintendent �� . <br />i <br />LABOR AND MATERW, II3ED <br />No. Size _� <br />.................-................................... Lead Connection Com�lete <br />......................._............................. Saddle Complete <br />.. . <br />.........._.....f...tt. _.�:/ � :............... ...c:.":•...'':_<.F..::_..............................................Pipe <br />..............._� ..........:...c::.............. Scrvice Cock <br />.................�......................,......... Service Boz <br />No. Hours Labor ..............................................Cost..........._....................................... <br />Cutin ....................Pavement....................X......._.........._... ..............Sq. Ft. <br />......._. <br />...................X..._................... �� <br />....... _ ............... <br />...................X.............._....... .� <br />......._ ............... <br />....................X........................ ........................ �. <br />Total ........................Sq. Ft. <br />------ <br />_. ,- , <br />Remarks .......................i.i ......�.a_..:......�tw 6:..:::.:".<. ' . <br />.............. �: :..,............. <br />........................................, �. �..e. �..... t_�..:..:......:........e..:.: ::............................ <br />, .l <br />......................................_....................:...:..................................................-�---..... <br />OrderFeceived ............................................................................................� <br />i- <br />�Vork Completed.._v..-:�.;�....-:..:!..3 ....................:z�?, ,!, �._ <br />FdPeman <br />