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Oyt � .` ` � <br /> 5.J.hie�W 7-16199 7 ' � <br /> W.D.torm) <br /> CITY OF EVERETT--Water Dept. <br /> APPlication No._�.:.�'�..'.� Date...fP...._---....�.�.....:�.:---.....19� <br /> ta11.....-..�.J .�. . mch watcr service pipe <br /> 1 " <br /> /'� ---rl--- <br /> For ........�F'L�.:....� ... .�. . .. .................................... <br /> On ......................�.'�..�.,�.3............f.�!C��.�............_....... Street <br /> Lot--�..........................................�---........._... Block No........_........................... <br /> Add;lion ....... .......r �-,,i............................ . . . .. .... .......... <br /> ........... �: <br /> ...... ....... <br /> Hetparks .. .:?`�.... ...... .. ....... <br /> ........ .............. <br /> �......... - -.....-------......._ <br /> l,� � <br /> .. f.. .�....,..,�. . ... ......•�.. ..:.. _.......... .... <br /> . .. <br /> �'�.....�`�`�r_�?::".-.•-. ��°�l.:t�..../�....�.^....,.�.�':_.. <br /> ��r..Q... .... ... ............�--............. . . <br /> .. � .-� <br /> . <br /> � _ . '....._.._... <br /> � ...."'_ ................................ ..�:t�'Yc�--L._... <br /> ... <br /> ........ <br /> .... .. .... ... . ce <br /> ` ✓ � Su rintendent <br /> LABOR AND MAT6RIAL IIBED <br /> No. I .Size ' ' <br /> _............................... ..........I Lead Connectlon Complete <br /> ..................................................... Saddle Complete <br /> .......................ft............................ ........................................................................Ptpe <br /> ......................................................I Service Cock <br /> ...................................................... Servlce Hox <br /> ...................................................... ................................................................................................................ . <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ......._........---.... �� <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Fi. <br /> --s— � � ,, <br /> Remarks_�._�.._./�....... � ,° .'v.^.-4.......................... <br /> --- ....... .. ....................... <br /> i <br /> ............................................................................................................................. <br /> ............................................................................................................................ <br /> OrderReceived.....................................................•.....F?..:.f.a..........r.....,/.... <br /> �j ��' ,f �:i:.r`,���.,, f <br /> \L'ork Completed��.�..�C.. . ......................V'....��.wC y�:C:_f!.Y...�-.L.:/ <br /> Foreman <br />