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W�D Formi�7 � ��Z � • � � �! <br /> � CITY OF EVERETT--V�ater llept:� <br /> Application No..�..L.�..a:.a... Da�te. .._� ��,J �� <br /> , / ..........................!a.........19,.. <br /> Install. ��x lnch water service pipe <br /> I'or V, � � <br /> ........... .... .. ....... <br /> .... ......._._ ...�:...ir........ ..........:`�n......-.. . -- ---• <br /> ..................... ..... . <br /> On .. ............ �.).lu...Q...g ........7.af:...:.......--'�r---..........-----...... Street <br /> Lot.............:�.,�.15....................................... Block N'o..........C..�...Q.............. <br /> Addi:ion .................. ...................................................................................... <br /> Remarks � �� <br /> _ ..._........ . .....,:i.ur::z.t.t.�......�_�:::...�.�"............1}...---........-- <br /> a <br /> ......... ..� , , _s ::':...t. ....................••----��- <br /> .................._............. L......r....... ................_---••- <br /> ......................................�---......;� �--��---...... <br /> , . <br /> ........ ..............................._........... <br /> _.........:...............:............... .. ...............--�---... . . <br /> l ..........�a�... <br /> .... <br /> �....... <br /> . ) .. )�--��..� .�_- <br /> ; � ,,.....:..............:�..........�...._..........................................c----.....--�- <br /> ,...............: <br /> (�<,.� �. ; Superinten$enf <br /> .�'f�./ <br /> ,, a�,,'`� LABOR AND MATF.RIAL BED <br /> No. � ice � <br /> -- � , . ��---- <br /> ........................`...........:.:............., I.ead Connection Compl te <br /> �._. . ' I <br /> ........................................ ......._..� Sadd!� �omplete <br /> .......................ft............................ .......................................................................Pipe <br /> ........ ............................................. Sc:vicc Cock <br /> ................................._................... Scrvice Box <br /> \�. Hours Labor..............................................Cost..........................._....................... <br /> Cutin....................Pcvement...................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ « <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> _— ---- ---- - . <br /> Rr.rnarks............_...................._.. F–' �_� % ......!!! -� <br /> . ......l�...�.........ffJ.:..-.��;'.:..�_y.....!' <br /> � _✓ ,,. / <br /> _.............. .._.................. S r.-�----...i......:�t'.'.P.................:.:.......t:2. <br /> � �La� p;� � � <br /> ............................�............. ................................................----................. <br /> OrderRecei�•ed.............. ..... .................. .................................................... / <br /> ��cor}: Completed...................._.............................................- ................... � <br /> Foreman <br />