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o..:. �•mce: x� ^ � � � �� �V I <br /> w. o. ronH � <br /> ' CITY OF EVERETT--Water Dept. <br /> ,� - � � <br /> �' Application No...:�i..: �.�;', .. D�te..........�:.:. lgu�'`' <br /> . .... ........_:.....�.......... <br /> ! �.iP� ' . � ,- • <br /> 7nstall....._�.:�.-.....'�........inch water service p:pe <br /> Fer .......................................................Y..........:.......................................---._... <br /> �> � �, , /, <br /> Ou ..................<.:.-.c.c:.../..........L�..::4..!C....t:�:.................-------.. Strcet <br /> Lot.............................:................................ Block No..................................... <br /> Addition ......................._.........................-.............................._..........-�--••-- <br /> • � , .... <br /> l,,:� . , :�. �/, ; �; S! �i <br /> Remarks ...................!:..,._<..._..�.....c:.:.�.1.�......::...........:..........:..Y........ <br /> _-„. . •/ <br /> ..........................�........,.......:�- :.:.�--:..:::_?..c.?:'. � ....................---_••- <br /> , , .�... . <br /> ....................l.x...°.:=_z...4Lc�s:..'..C:.+..e:�......e?t`.YJy. ...........-...............""'.. <br /> ._::.. <br /> .......................... ................'........................._:.��..../�....` <br /> , . ..............'_'...... <br /> ................................ �r �y . "�� 5� <br /> .....................""'.....x... ..S.�....:... ........:.. .......... .. <br /> �jc � Su rintendent <br /> �� i�—_ <br /> LABOR AND MATERIAL DSSD <br /> No. SSze <br /> .... ............................................I :.ead Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................2t............................I ........................................................................Yipe <br /> .... ............................................... Service Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost..........................._....................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Fl. <br /> ....................X........................ .. <br /> ......._.............. <br /> ....................X........................ ., <br /> ......._............... <br /> ....................X........................ .� <br /> ....................... <br /> Total ..... ..... Sq.Ft. <br /> — -------- — <br /> Remarks............................................................................................................ — <br /> ....................................................................................................... .................. <br /> ............................................................................................................�---•--��---.. <br /> OrdeiReceive�.............................................................................. .............. . / <br /> \Vork Campleted...............:........................_................................. ......._... .. 1 <br /> F�reman <br />