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� � s8 �- � �.: .r <br /> . , <br /> w. o. ronH � <br /> CITY OF EVERETT--Water Dept. <br /> Application No..f' �.5.:(l. ...:l,�ate..�',�.:..:.....t..:.............19.�.> <br /> Install...'�_�.._��...... .mch water service pipe <br /> For ..................y... ........_........... ..._, ............. <br /> . -;�. �� . �l`�--C�`.................... <br /> On ...................:............(....................:...... ....�.................................... Street <br /> Lot....................� ..................................... Bla.n No.................---................. <br /> :1!i�lition .......................................................... . <br /> L / �� �.......................... <br /> / . <br /> .. <br /> iL_"..� "' . . <br /> Remarks ...._�......- 't._.` '.:�..< .,.�....._......_S!..........1</:.:.......................... <br /> sT�.%.Ll.:.�:�.—..:.:.::........�C.���.t:..l:�:.�..�r.:._..""' <br /> ................. .............. �/ <br /> .................. .............-................................................................---................. <br /> .......__. :�... 'r.......... ..._...---- <br /> _ .. ................_...................................... �' <br /> �` � :;� 1 /��..�C G- _.. <br /> ....................................................................................1_:. . . . .�-' .•-- <br /> ��peiinten ent <br /> ............. .... <br /> ....- / • i <br /> � � <br /> LASOR AND MATERIAL USED � <br /> No. ' Size � <br /> ---- �— <br /> ......._........................_............._....I :.ead Connection Complete <br /> .................(.�................................. �/n1ddle Complete <br /> ..........�..b....ft......._�i.F............ .{„��7_..L...��.:...).:�...........................................Pipe <br /> / �+'.� Sc:v�e Cock <br /> ...................�............,....L�:........ , <br /> ....................�..........._.............._ Scr;icc Sox <br /> �..�..�..._.........._. '.......................I _.......�.._......�............:......_....................._......._.................._..........._. <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin........._........Pavement....................X........................ ........................Sq.Ft. <br /> i , /. / ..................... „ <br /> :, . , ..........._....._X-...................... ... <br /> . - . , • <br /> /�. . .: <br /> ....................X........................ „ <br /> � ........................ <br /> ....................X....................... �� <br /> ........................ <br /> Total ........................Sq.Fl. <br /> _--- ----- � ----- <br /> -- <br /> � i . . <br /> Remarks................................�...:I! :�.......:..:.:......'..,... ..................................... <br /> 1� .�', , ( - ,�, <br /> _ .. . ... _................ . ... .......... ..F. .........::_.,:...._ ...:,:.._....:.�........................ <br /> �; , ,,, c., <br /> Order Received.............................................................. . <br /> �........................... <br /> � 'S /,� , . . <br /> \Vork, Completed. .,..:...�1..:.::::..:........__......._.::....... <br /> . :........�..:.::..........__. <br /> Foreman <br />