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- �;. <br /> . .�� o7Q <br /> w. o. ro+H � <br /> CITY OF EVERETT--Water Dept. <br /> Application No.,l�t_`..��� Date.;...�/r...�::1...��.............19.�.. � <br /> , - Install.................�...........inch water service pipe <br /> � �; . `�-, , <br /> _-�_�.:�.c..f�.,c�`............1..�..c:.:..;:::.r...r..'.,.--.................. <br /> For ......L.....:........ — <br /> ;,�....�.l......1--....��:.�::����c:............ Stree'c <br /> On ............................. <br /> Lot.............................................................. Block No............---...................... <br /> Addition ................................................................................�--....................... <br /> Remarks ...........................•---................................................................... <br /> ...... ...... ........... ,:.%... <br /> "� '' ,l � - ••-- <br /> .�,�...��-- <br /> �.......... <br /> ::C���:........._..............::��::::�:::::::::::::::::::�::::::::_::::::. _... <br /> ,......�,_, .. � � � -- <br /> ' .. `` - �:... <br /> �r.::.. � .!...�...,. ��c:t:....................................__... ..,............;....., <br /> . �))J���G�� , �, <br /> C. . ..._ .,�' . �........ i*-S'--�N <br /> '\........ ... _��....../.............."'"'... <br /> ..............................i.... . <br /> .rp. .._...:....................... %, parintend2nt <br /> � �" %'��-f Q.,� <br /> :�---- � <br /> LABOR AND MATERIAL IISED - <br /> No. Size <br /> ................... <br /> ................................... :.cad Connection Complete <br /> .................................._.................. Saddlc Complcte <br /> 1....ft._..:..................... .....................................................................PiPe <br /> ................... , .. <br /> �,,..,,.1.................. Service Cock <br /> ........................ <br /> ........................... <br /> ....:.................... Servicr. Box <br /> ...................................................... ......................................................................... <br /> No. Hours Labo:..............................................Cost.................................................. <br /> Cutin....................Pavemcnt....................X........................ ........................Sq.Ft. <br /> . . . . ....................X........................ ......._............... <br /> �. <br /> , �� <br /> � ....................X........................ ........................ <br /> .X........................ ........................ �� <br /> . ...................Total <br /> ........................59.Ft. <br /> Remarks. ..�:......:::::.:......:......:...:::...:.......................................................... <br /> .......................... . <br /> ......... <br /> .......................................�.,..:.....:............................................._.................... <br /> OrderReceivAd..........................:............................:...................................... / <br /> \Vork Com leted.;.........1......:1:.:..: .......'......::.....:....:. ......._..._... I <br /> � P :................... � <br /> Foreman <br />