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S.i.PrleEe<la7to7� � � , ' .. �r/ � / <br /> W.U.Porm J � .. <br /> CITY OF EVERETT--Water Dept. <br /> Application No... ..�"� �� DJat� � C_� � ('� .1:1...J.r..-/ <br /> r ..... . .....C�.:.......-....................... <br /> - Ir�sta 1........-'�.'� inch water service ine <br /> � �.............. P.. <br /> For ..........� ...._a:.�.a::!p.J.'-�...............................-----............. <br /> On ......... .r�..-�.r. ..�...�........�.0....L:�:�.c..�.�'............................ Strer.t <br /> Lot..............C`�.,.....,,..�.............................. Block No..................-----�-�--......... <br /> Addition .......................................................................................................... <br /> Remarks ..........,... ..............��--�--...........j.�.......�...----;...................................... <br /> �.:�T.L..:�L.�.+�:Ca..Ze�.:at,,.......�. r <br /> � <br /> ................................. ._....'-�"'- <br /> ................. .........................................'................._........................"""'...........-".. <br /> ........ <br /> �h.�..:<::t.�:..'........./Q.4..�L:!�!::f.:.°. � <br /> ...... . <br /> `,_...../. . <br /> .... ._... <br /> �..d.�................................................................... ....... ..... ...._9-��:�_.�.. <br /> . Superin:endent <br /> �-_-- <br /> v <br /> ��.=T LAROR AND MATERIAL USSD � <br /> �' . Sizc <br /> °--- - ----' <br /> l � , '' � � _ . — <br /> ��..._._...a .............J�r........... I ie.ui C:mnection Complete <br /> .^:_...... :�i._,...�,.. � .� Saddle Complete <br /> Y......." . .._lt.l.. ...............I .................._.............................................._...Pipc <br /> d..w.... <br /> � � � ^crvicc Cock <br /> _� .. ..... ..?..::..n.......... .......... <br /> '� Sc:vicc IIox <br /> ....... �....`. c::.:......................._..... <br /> .............................. ..... ........ .............................. <br /> . ....... ........." <br /> _.__........................_..................... . <br /> A`o. Hours Labo�..............................................Cost................................................--- <br /> Cutin..............._...ruvemcnt._....__.........X........................ ........................Sq.F't. <br /> ....................Y.---.................... �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> .................... ........................ ........................ <br /> ., <br /> , Total ........................Sq.Ft. <br /> -----�-�----�����—`=-- — <br /> . - �� .� ., . . <br /> Remarkc.��...__�,L.�;%.....�.:F:.:�._.:..:.:.:...:.�:.......__..,........................... <br /> / <br /> ........................................................................................:....:..... .....:...---... <br /> , r; � <br /> .............................. <br /> .....................................:.:..........__�.:...........-- ............. <br /> CrdcrRecrived......_.;�;__....._i......... .. ...................................................... I <br /> � \"n�k Cr,n�.�ilcteci.,:...�::....'...:^ �� �'..�...... / <br /> ................. .............._........................ <br /> Foreman <br />