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y J.Pn�•fi.1M7.J�7� / �T V • <br /> W. U.Form J \/ <br /> CITY OF EVERETT--Water Dept. <br /> Appliczlion No..1.`�.�...�l..�ate....��C.f....:..l�f...............1�� <br /> �j �ll.:f I.f.......................inch water service pipe <br /> For ........L.../ lt (.! «:!:Y.��'t--�J <br /> .... . . ... <br /> �f ....... ............. <br /> On ......................_a�..7...,�0....._..�/Q"�5...._.........---.._..... Street <br /> Lot.................. ......�..�........................ Block No........�.�.�..�---........ <br /> Addition .............................................. ........................................................ <br /> Remarks ........................ . . . <br /> . ................. ........................................... .. <br /> �... <br /> - Gtc' ,-.7.Mti��:.:.�f....�_!Y c.....---....---........--• <br /> . ... . . . <br /> ' �;�. L� �.C. <br /> ... ... .................................. <br /> . .... :_ * . <br /> . . <br /> I,I;1 �.�, <br /> � . I !!r '. .. .. : <br /> ..' "..................................................."""'......'"'...'"' <br /> . .......... . ......:. ...... ....................."" "l"' ". . <br /> f,. �� lt.n�--'.................. <br /> ......... ... . ............. .................................... . ... ........ ..._............................-- <br /> !/�.-� , Superintendent <br /> � <br /> LABOR AND MATE6IAL IISED <br /> No. I Size ' <br /> . ............................................._._�, Lead Connection ComplMc <br /> .........�................._........._..........� Saddle Complete <br /> ,.e........fl...........pI`.l...:..... ........................:�....::.:.l.../!..vR:-................Pipc <br /> ........ .. <br /> ......................._........_....._............ Service Cock j�r_� <br /> ...................................................... Service Box <br /> .. .... ...._................. ...__ ................................__....................................._........... <br /> .._. ........__. ...... ... _ _.........._._.�i ......................._........_............................................................._............. <br /> *�o. I�iours Labor.............................................Cost.................................................... <br /> Cutin....._.............Pavem.�nt._.._..._........X........................ .......................Sq.Ft. <br /> . .................a_...................... �� <br /> ........................ <br /> Y........................ ........................ �� <br /> .............. <br /> _.............X......................_ �� <br /> . ........................ <br /> Total ........................Sq.Fl. <br /> ------- ...----�-�--�-c---=---- <br /> 1 , ' <br /> Remarks......�,......`:..`-.............�..:,:..:.....:..._........_...:........................._.. <br /> _......_.. . . �................�.............-- ..................._.......-•---.......... <br /> OrderIiccci•;ed....................._.................................�......:............................... <br /> � -.. � : � :: ; - ' �• y /� ..' � � .;' <br /> `;lork ComplMcd._.......__..................................:...... .l..t...l..::.!::..1..... .. <br /> Foreman <br />