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w. o.Mronwa�'� I �� ^ ... ._. �'� .i �� <br /> � <br /> CITY OF EVERETT--Water Dept. <br /> .� � . J ,/ <br /> ,J�;'I�APPlication No..LI._�.J�...`�:.. Da e...........................0 ..a?.�.....19,.1...� <br /> `7 / / Install........ �/�. - mc/h water service pipe <br /> :..........' <br /> For ........./�K�,:�:!�.4.L"f...��.rku.L:`1�....1r....`.��E:.�-=---..................----- <br /> �J*i ............�.(-....�.C�.---��1..:: ...#-rr.�i-c^.l'-.1.4c?�:...........__....... Street <br /> Lot..................._.........................---........---.. Block No........--••--•........._........... <br /> Adciitian ................................. ........ .......... .................. ........... <br /> ........ <br /> � ' I, <br /> .......... <br /> Remarks ....J..Z�:�!:.L.'...._ . . ..._�:c5-5._.,......-.....A. .. �...l�.�� <br /> . ....j...._.. . . <br /> _.................................:............ • ---... ...... , ................ .. .. <br /> . ..... , ., �,/ <br /> . <br /> . ...... <br /> . .-, �- '� .-�-G' � �i' - � <br /> ...........I........._�.\......:...._���._::�..,}...........................................,�''l� _ .et;c:v�/�i <br /> Superintende�lt <br /> � '� I _�' a c� I ____�fu� <br /> L� � . LABOR AND MATERIAL D9ED <br /> Nu. -'5ize� _,�• __ <br /> ----- <br /> ....._:..................._......................... :.ead Connection ComPlete <br /> ..................................................... Saddle Complcle <br /> .......................ft............................ ...............................----'--..................................Pipe <br /> .............._...__............................... Service Cock <br /> ...................................................... Servicr. Box <br /> Nc. Hours Labor..............................................Cost................................................... <br /> Cutin....................Pavement.....................X......._............... ........................Sq.Ft. <br /> ...................X.._................... ,� <br /> ....................X....................... �, <br /> ...................X........................ .._T.._ �� <br /> Total . ........................5q.Ft. <br /> -- -�---�— —. � .� . <br /> � � .—'. ,. , . .. . <br /> :. „ . <br /> Re�narks....'...: .......� .r .........:.............................._........................ <br /> � ' <br /> _ � .............`� <br /> t <br /> ..................... ....�...........�'................................................�- <br /> �......... .......... ..... � <br /> •_'.....!.:....�r...........:...L.i....._...............:......:,:..............:........................_....... .::...::.: <br /> OrderReccived.._........_............:.......:.�:........................... ...1..:.......... ...... <br /> , � <br /> �Vorlc Completed.....:....:...--`.:'...�_�L.............::..........._......._............. . <br /> Foreman <br />