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� -39 2 3 .� � �� - <br /> � �✓ :��.� � <br /> w. o. ronH � � �– <br /> CITY OF EVERETT--Water Dept. <br /> App]icationNo.'.��..:.`....'... Date......%c:�:G:.....:....:...................19:.....- <br /> Install........�,1.............inch water service pipe <br /> For ..................... ...................................................................................... <br /> ....--- <br /> On ........�.:!�:-..�:�......./-:.'..::..r1::. ............... ....................... <br /> �� . Street <br /> Lot............................................................. Block No................---..........--�--��- � <br /> :ldciition .......................................................................................................... <br /> Remarks .....S::r;.::r_..r- ' - �% ! �, <br /> . �.............:c..:...:::...._........:....... ...................--- <br /> .:- ; l. ,. / � <br /> ......f� <br /> .,,:_=.:�rtf. --�=-''.......cr.o�r.::r.:_�.:..:. - ':.:::!�.-:, <br /> ........... ............. <br /> _ , � . ........................................ <br /> ............:�.t.`.-a:�.-s.{:f.�:f.>�:....r._(; .> /c..:.:..:•.a.:.................................._ . ' . ,_-', � <br /> .�,,.......�.... — ......... ., <br /> di <br /> _............._...................................................................................................."""_ . / <br /> .........................................L�:.'..._. /:... .__. .. <br /> ............................................. `,................. . <br /> .,uperintendent <br /> ----- ,,. �-' <br /> LABOR ATD MATERIAL USED <br /> No. j Size I <br /> -- r--— <br /> ..............................................._.....i Lcad Cnnneclion Complete <br /> ...................................................... Saddlc Complcle <br /> ............:�.........ft......:....................I .......:�:.�...�...�.:_...I..............................................Pipc <br /> ....................._:......::._:.................. Scrvicc Cock � <br /> .........................:............................ Seraicc Box � <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin..............._...Pavement....._.............X........................ ........................Sq.Ft. <br /> _, <br /> . . ....................X........................ ........................ .� <br /> ,. . <br /> � ....................X........................ �� <br /> ........................ <br /> ....................X........................ ., . <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --------------...-- <br /> � ---_ <br /> P.emarks........................:....................:........_................. <br /> ............................ <br /> _. ..._................................:..:......:.....:....:.....:......................................................... <br /> ....................................:.................................................................................... � <br /> OrderHeceiceJ............................................................................................... <br /> \Vork Completed............................................__......................................... .. i��..� <br /> Foreman " <br /> � � <br /> � <br />