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� <br /> W�U Fa nJM��29� 73 � .. , <br /> V <br />, GITY OF EVERETT--Water Dept. <br /> Applicatian No/..�/..3. .�J.. ,Date...l�..-.......1 .�.n..".:...........19_:`S. I <br /> .� <br /> nsta 1.....�:.../.", incl water seryice pipe <br /> ,� c vo, n- , � � <br /> For ..........._,./../.. ,..Cl�i. ".. t.L� ...._.:.�:.i....f................ <br /> . ......�........... <br /> � .°'— . Street <br /> On ...........'7�:�. . . . .......5`........._.................... <br /> _, _ �_ <br /> Loc.`......r�:.��,_...1:.�:::t.:r::�.:1_t;,�.1�.�:c_ sloi,k IQo............................�--��-�-- <br /> .9ddition ............................... <br /> . . ........................................................................ <br /> Remarks ................................................................ .................................... <br /> /� t _� 7 – J J I <br /> ................ .Se::��`'...l.::�a:i�:�:.:..�!....✓�?�!.k:`��/!..'/��..':.'T�.',l•..../ <br /> i <br /> .............. . .... .r....... ..............................................._............................_........----� <br /> ........................................................... .... ...... ...:.....�---..............---�--.............. <br /> .................................................. ../..Y�✓ ...�?�.:�4-- <br /> ..... .. ..._.-.`................................ <br /> /�� �-- . Superintendent <br /> . /� � <br /> LABOR AND 11iATERIAL USED <br /> No. � Sizc <br /> - ------�— ' <br /> ........................._!......................_...I Leaci Conneclion CmnElele <br /> � . Saddle Complete <br /> ..................................................... <br /> .......................ft............................ _..........................................__......_................PiPc <br /> ._........................_...._................... Service Cock . <br /> ...................................................... Scrvicc Flo� <br /> No. Hours L�hor..........................._.................Cost......................................_..._.._.. <br /> Cut ir......._........__Pacem^nt........_.........X................ <br /> . ....... ......._..............Sq.Fl. <br /> ....................Y... ,� <br /> .. �� <br /> ....................n........................ ....................... <br /> ....................}�........................ ........................ �� <br /> Total ......._...._.........Sq.Ft. �� <br /> _ --------------- <br /> Remarls................................................................... -- <br /> .... . .............................. <br /> OrderReceived..................... ........................................................................ <br />( \';or}: Completed..................:......................... .............................................. <br /> Forem.an / <br /> - — "�-: _ � - _ _J <br />