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w. o. ronr ������ � ✓✓ <br /> CITY OF EVERETT^.Water Dept. <br /> .s����, '' -- , '� -> �=� <br /> Application No�'......::::.: .... Date_r.�i...........�.-:....-................ <br /> ; . 19..'.-- <br /> f�, , �7sta11.:....::�'� . inch water service pipe <br /> � . ........... <br /> For ` /::t.i . �y . ' <br /> / : <br /> ,.......................�................ v-k���d�� <br /> � f, ........ ....._........... ..-......................... -.... <br /> On ...............�:�.lr�......�.�.:.'.�::��:;................................. Street <br /> Lot...............-L���`.:.'................................. Block No..................................... <br /> Adciition ........... —�........................ _... <br /> . <br /> �. ....................................... <br /> ............. <br /> Remarks .........:::. .�%?.u.C::C:S...?.�t-.:�.- = <br /> ................................................... <br /> ................................. " i <br /> . ...... . .............�`i z<........ <br /> �.../.,`� ..... .................................. <br /> .......................... '��f/'=��: . ,� , , <br /> .......................... . . ....l.......:. .._..5..�............................._. <br /> / :.. <br /> .................................................f:................... ...1._��............ .. <br /> ....... ..................... <br /> ................................. � �s..��-;7��j <br /> ...........................: ...... <br /> ................F.....--�-�--......-- <br /> — -- -- ,Jf� SupQrintendent <br /> LABOR AND MATER(Af U3ED <br /> _No.�ize I <br /> .....................................................� Lead Connection Complete <br /> . ........�.............................._ Sad�]eComplete <br /> ..............._Yft.. jl. % , <br /> ..__r.t_............. �,,,.....:. .f"._'..........._.....................................Pipe <br /> i 4 , <br /> .....................1......:.r..:..:............... Service Cock <br /> � �......... Scr✓ice Box <br /> .......................:................... . <br /> ............................. <br /> No. Hours Labor..............................................Cost......................... <br /> .......................... <br /> Cut in........... . Pavement....................X................ ........................Sq.Ft. <br /> _ <br /> ........ <br /> G�c — �..rLE�1 ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> .................. <br /> ....................X........................ �� <br /> ........................ <br /> Total q <br /> -------- <br /> ..................... S Ft <br /> Remarks.......L.7....'G,,t. h..:-' <br /> .... d:..�.r..... <br /> _ , , ............................................................ <br /> _. ....._.................1...�G:c:c....,:�rt�:.':...:..•.;..r..:':.. <br /> .:........................................... <br /> ............................�..n:Yt.S:.f..:......................................................................... <br /> Order Receiced....................._. . <br /> . ................................................ ........... ..... <br /> lVork Completed,'.:.p.r-.-:.��..�...............:c:�:f�.__C.z.!.�:.:..:.. ......... . <br /> Foreman <br />