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S I.hieMlM'.�619355' z / � • <br /> W D.Porm) �. � <br /> CITY OF EVERETT--Wate,Dept. <br /> � <br /> �rf' � , � r : <br /> Application No.._�.....l...i_•_'.. �ate...._............::. ...................19.�'..;: ' <br /> . ....... <br /> Install..........�.�:�...:.:........�ch water service pipe <br /> For ..............�......'ii'-.�.....:..._.�.._.......::.............. ' <br /> I - J....................................."" <br /> , i /(�� � �' � � r 1 � % <br /> 7n ................ ...... <br /> �.• .:.�.....}.....:....�::_...1::. �_:.::...... ............. <br /> � . . .. . � J.._�... Street <br /> ..ot...................... .�.............................. Block No......I;I...�`�.. <br /> Addition """--••••• <br /> ...................................................................................................... <br /> Remarks .......................................................................................................... <br /> ........................................�-..,................................._ <br /> ................................................../_ <br /> ...................•--_........ <br /> .�r:...................._.._. <br /> . , ....-- <br /> .......................................................:.............._...:_._.:... <br /> � / �.[.:::...1....................... <br /> ................................. . . , <br /> , : = <br /> .................. _ . , <br /> ....................._:,..::.:-., . <br /> .••r...... ......._- -- •`__... <br /> �� �� � ;' 3uperintende t � <br /> �' / =/ � .4 / / �/ <br /> LABO$ AND MATERIAL D9ED - — <br /> No. � Size � <br /> � <br /> ...................................................... Lend Connection Complete <br /> ..................................................... Sacidle Complete <br /> ......................St............................ <br /> ........................................................................P i p e <br /> / � 'r <br /> ................................. y............... Service Cack <br /> .................................................... Serv�cc Box <br /> .............� 1, � �' t� �- i <br /> .................�� '� -� � . <br /> �,......I..al.._. .. .r'..Cl....l.'.:�........i2r� �,.�c_ . <br /> ................... ........ „....................................................................... <br /> ............................ <br /> ..................... <br /> ................... <br /> No. Hours Labor_............................. �I� �6" <br /> .........:�.:.Cos ......._�........................................ <br /> Cut in....................Pacement....................X........................ - <br /> ........................Sq.F't. <br /> �-� .................._X........................ �� <br /> r t r.o ........................ <br /> ���� iil- ...............x........................ . „ <br /> ..................... <br /> � ......X........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---•._.__-- <br /> - ----- ----�__ <br /> R�marks....................................................... <br /> ..................................................... <br /> ............................................................................... <br /> OrdecRecei�•ed.. ..........................................._............ .........._..._._...........� <br /> l`rorl: Completed........ .... . ........................_...... <br /> ...................... ....... . <br /> Foreman <br /> " � % 1,f � <br /> �..� ��,e ".Y�:1 i\�� `�.' <br />