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t ✓ , � <br /> w. a,re� a ����� � . . v <br /> � � ��_ <br /> CITY OF EVERETT--Water 1�c�pt � <br /> A lication No........_.:...:.. ... � <br /> ; • ; -- � � � � r"_: <br /> PP � " ��-. .. �ate...-ii�... ._��•--•................19'Y- <br /> Install..----....,.'�l�.._...._..inch water service pipe <br /> For ..._.........r,.--.1................. � � <br /> On ..._........_..._---"'..�..............:::G.:.1.:....::•---•----�---.............__.. Street <br /> ._ _.;.._.._..:..----•--�............................. <br /> � � L' _ <br /> �t.............../�...-1.�.._..._......_.,... s�ati No......._7..�_�........_._ <br /> Addition ..........................................•...................._....---•--............................... <br /> Remarka .................. — . _......_........ <br /> . 7......_....................:�'""'......................... <br /> n'`Ji ""........... <br /> .................................� . a�.:w.......::...':.......i....... ..w......._.........._ "_..... <br /> � <br /> ....................."""..._.................._.............._."""...............................................'""....... <br /> ........ _. . .F...............:.....""'..."" <br /> ................................................."""".... .. ..-....��.�..."" <br /> �/ . ��i , � <br /> ................... .............................. . ....�........1/.....1...��-...i�.�.:N�-L..�..-..i`J........ <br /> �� L/ ' $tlE]ef171�Cilt <br /> l r�~ �_ <br /> LAEOB AND MATERIAL IISSD <br /> No. Size � <br /> ._.._.........._........................... Lcad Connection ComPlete <br /> ' ..._..............._._............--............. Saddle Complete <br /> .................._. <br /> .SL_......................... .................................._..................................Pipe <br /> .............._......................._............ Service Cock <br /> ._.............._.................................. Service IIos <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pevement....................X......._............... ................----...Sq.Ft. <br /> ....................IC---............._... �� <br /> ....----............... <br /> ...................X........................ �� <br /> ....-'--............... <br /> ...................X........................ .� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---- -- <br /> Remarks..............:................................._.................................................._....... <br /> Order.Peceived_..._.i:--`....;....._......_......._......._.........._..__....„.......�........._. / <br /> 1VorkCompleted.�......:.:..::......_._............................................................. � <br /> Foreman <br />