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s. d. nw¢oc � JA' � , / � / <br />w. o. ronr+ a I V <br />CITY OF EVERETT-�-Water Dept. <br />�i�bi <br />� E l, U .. ..................... .19...... <br />. ApPlication No .....:....:.. � , Date...................... <br />_ .� M"r.� <br />• In a1T.........._....... mch water serdce pipe � <br />/7�� � ��� <br />.. ........ . �,/ <br />• l�or�/-..... ......_.. _. . . .z.-.._.....�f'� ............. <br />, ' On 1` •.-5:...._��t:.. ....�.7G.-3 ................... Street <br />���j��— . <br />, .l.} � ..., , �.� � j ,: � 1; L V !7; <br />. ,.� _ - - 'Block No ..................................... <br />�dclition ..................................................................... <br />Remarks..................................................................... <br />.... ........................................ - _ _ <br />............................................. ........ . Superinlendent <br />LABOR ANO MATF.ft[AL USED <br />No. 'i Size i _ _ —� <br />—r -- <br />_. _. ,,.___�.._ .....................:I Lend Connection Complele <br />....................................._...... Saddlc Complcic <br />.............ft.. _........._............._..........................Pipe <br />..........................I .. .............. <br />......................................_....I Scrvice Cock <br />-------_,......... Scrvicc Box <br />No. Hours Lsbor._............_ .............................Cost.............._......._........................._. <br />Culin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ ........................ <br />�� <br />� X ........................ .. �� <br />...................... <br />Gc/— 9/ y. X ...................... .......... ........... .. <br />/ �...._....._...Total ..............._.......Sq.Ft. <br />----- <br />----- <br />. . ..................................................... <br />Remar s ..............._................................_ <br />...................... ....................... .......................................................................... <br />.......................... ................................................................................. ... ........ <br />O.der F.ecciced..__ ..............._................._..................._.......................... .. <br />R'orY. Complcted ........................ _..... <br />_._.._._. <br />_._...._...... <br />Foreman <br />