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9. .l_ P41C0� ]M� � � � � ��/ ~J�• . <br /> w. o. ro�f. . <br /> CITY OF -EV�RETT--Water Dept. <br /> Applicalion No.�./.��.. Date......`.:..`.',�.......j..�. '.. ../..:....19�C' <br /> Insta!i.....�y.!_!.............inch44ater service pipe <br /> For .............................................. ............. ............... ............. <br /> .................... <br /> O�i ..........a�.._�...7.......... ..................� ................................. Street <br /> i,ol.............................................................. Block No................_.................... <br /> Adilition ................. .... . ............................. ....... <br /> ..... .. <br /> Pcmarks .............. ._ ..�L:S..�t°�.r...�................ .----.........----.....----...... <br /> .................................. --�----....................---..................................----------...... <br /> __............. � �..................---..................................... ........-----......------��- <br /> .. ....... .. <br /> .... . .,�.�...............- ............. . ..... ... . ... .. <br /> . ................. ..... <br /> �.�. �..... ........ ................. ... ..�.__ ......h/i�c. ..... <br /> /t' � Superint en <br /> L OR AND MATERIAL US <br /> No. I Size <br /> --------�I .............�--- <br /> ........._................. I Lc.d Co�.�ection Complete � <br /> ............. <br /> __.........................�........,,.....p......... Sadd�c ComPlete <br /> ...........l.........ft...'.Fr...�:n2.l....... ........................................................................Pipe <br /> ..................................................... 5crvice Cock <br /> ...................................................... Scrvice Box <br /> Yo. Huurs L�bor............................................Cost.................................................... - <br /> Cutin....._..........._Pavement......._..........X........................ ......................_Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --- - <br /> Remarics........_................................_...._....... ......................�........................... <br /> '' ..�>j,�..':.�1�.........1.��:z<�.....4�_c l�.,......................... <br /> ...� <br /> _...............................................-� ---. ............................................................. <br /> Orde_ i'eceiced... ........................_......._.............�:._.;......._.........:�.__.... <br /> p _ � j <br /> Cvm!. Com�lc.ed...�7..'.��.".h.c�....�F�1�,.e[..j.i.i.:ll.l�OY.?.Z.":: . / <br /> Foreman ( <br /> � <br />