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._ r' ` ``�' J�/. . . . . <br /> 4 J. PNI[6}.' ]M� � �J �-' �' - � <br /> ��. O. fORM ] ' ^ <br /> , CITY OF EVERETT-.Water Dept. <br /> Application No.._�.l-%.i Date...---....��.-......_;'�'�.. , `_ <br /> i - . . .19..:� o <br /> Install.........f?.�.,....,,,.inch water service pipe <br /> I'er <br /> ......................... �...........---r-�...................,...... <br /> /� • / . . .............. <br /> O:1 /._�.,L ii�:li-c� <br /> ................_........,.. .................(�...............�..�....._..... Street <br /> Lot.............................................................. Block No.............-•---............--�---- <br /> Addition �� <br /> ................................. <br /> . . ............ .. . <br /> .:--.. ..... <br /> � ' --... <br /> ........................... <br /> ?iemarks .............................. .<::.�.�s:.t.s....;::- <br /> ..................................................................................................�-�---.................. <br /> _ ......................................................................................................................... <br /> ..................... ........................................... <br /> ........ ......�.. <br /> /��.........._................... <br /> ...._........_..._.................................._.:�� .j.:�LfE.-4,-Z-C _ <br /> .... <br /> ...............�....� . ... <br /> — ��/;�� Superinte dent <br /> LABOR AND MATERGIL IISED <br /> _ No_i Size i----- <br /> ...........................�.._.......................I :.cad Connection Complete <br /> ...................................................... S:�ddle Crnplete <br /> .......................ft............................ ..........................................._...........................Pipe <br /> ..................................................... Servir.e Cock <br /> ............................................:......... Scr�ice Box <br /> ............ <br /> No. Hours Labor..............................................Cost................................................... <br /> Cutin.....__.._...._.Paven�ent_......._.........X........................ ..........._..........R�.Ft. <br /> ....................?C........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -----� —-----_..-------- <br /> =—'— <br /> ii:'.lil.?Llr 3............................... <br /> .. . -._................. "'...................... <br /> _ '�^ .................. <br /> .. <br /> > <br /> ... <br /> ii <br /> .. .......................!.. c:..................i...... <br /> ....................................._. <br /> . .. . .............. <br /> � ~ <br /> ..................................i.........:il -:...t..:...... <br /> ..................... ........................_................. � <br /> C)P(3C'e :t'CCICC:I........._.............................._............ <br /> ......."'.............................. <br /> 14'nr}: l mnj•le.ed........_..... <br /> .................................. ........................ ... .. . . <br /> Foreman <br />