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E ,:n;,.k,i,:.a ss3 S / � - .:i <br /> a.o-ro..� <br /> CITY OF EVERETT--Watet Dept. <br /> .. <br /> �-� �� �/� <br /> Application No%J:�'.._...'...� Date---.�?..�."-:.......�._�:��........1� <br /> _ , Install.......:...?-......:...........inch�yeter service pipe <br /> �: :L . '. r - , , , � r_, . ,: <br /> For .................... . t.......A...:................................ <br /> On .............. . ....n.✓........�Z�::�`:.::..................... <br /> ...........-- - ------ <br /> � ...... Street <br /> Lot.........................1.:-3........................ Block No....��._=....'.�:............... <br /> Addition ......................:_�;,.............................,.............................._............... <br /> j�� f �' . .� t <br /> Remarks .........................:....1.t.....:..'...:.,..:-.--.. <br /> \...�_....-�----................ <br /> ��........ .. . <br /> . �- . .. .. . ; -- -.. ..... <br /> ...... ........................................................---�----.....--........---........._... <br /> .. ...........�..... ................... <br /> ........... .... •- - -....................................---- <br /> iC� ''. �/ . . ................'..--....----....... . <br /> _. ...............J�.............................y�/ ....1'._.. ..� . <br /> ..................�........................., ./.....d.`.:,,,j,C"�.,_C.j (�Y'��_.- <br /> ........... � . " <br /> ��'� � � Su rintendent <br /> � <br /> I.ABOR ANP MAT6RIAL IIBED <br /> No. Size i <br /> - —--- — <br /> ...................................................... Lead Connection Complete <br /> .--..-..- . . Saddle C m le <br /> ft._ ............ .. !�� ..................................I'ipe <br /> ......��...................�.......�... <br /> .................__......................._....._ Service C c <br /> � ..................................................._ Service Box <br /> No. Hours Labor..._......_.................................Cost.........................---................_...... <br /> Cutin._._._..._._...Pavement....................X..................._... .................__...Sq.Ft. <br /> ....................X........................ �� <br /> ....................... <br /> ....................X........................ �, <br /> ....................... <br /> ....................X........................ .� <br /> ..............._._... <br /> __— <br /> Tolal ........................Sq.Ft. <br /> ------ ----------------� <br /> Remarks........ _..... ._........................_...... -- <br /> _. ..._...... _......... .__............................................- -._._.... .._............_........... <br /> ................................_._.............................----....................... ............_..-� --....... <br /> Order &eccit�ed._.................. .............................................._..................... % <br /> , . �,i,�; ,: <br /> \Vork Ccmplrted...S...�-Il.�:'..S.t..... ..:......:,.�,:,:f..�.�r,-,:c�.............. . <br /> Forema <br />