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�,,.--_�__ - -- ------_ _ <br /> �� `�`a � � ��� . <br /> . � . <br /> �. a. rnicnc a <br /> w. o. rnWM a <br /> CITY OF EVERETT--Water Dep�. <br /> �iG' °�fl� '`� �- � � <br /> Application No.t1......... ... ....3D te...�2......................................13'-'.. <br /> Install....�.��............. .inch � eter service pipe <br /> For ....y..... .. .._.._........... ....._../................ <br /> .._........__.._....... ....�........ /_ / <br /> ��.'� � ��V� ....�C- .C�.....................C....... Street <br /> On ............._......_.............. �..[..... ... � �p s�" <br /> 3 — �- ................ Block No.................................... <br /> Lot............_ .��..._r.............._...1. <br /> �rldilion ......... ..... <br /> ....... _. <br /> - ...................... <br /> <?2.�:.4.�.`F-'�... ................. .. .................. <br /> �emarks .__....._......_... ..... f.............. <br /> .._. <br /> ....... .. <br /> " ...... . ..� <br /> �:��_�r ��.���... ............ <br /> .. .. ..�. .. ; <br /> . �� <br /> � <br /> . ...... .. _. . . �- <br /> �r/���ct.in.�i. ........................ ............_....__.-- <br /> ................. <br /> .....�.... ... <br /> _ ................................................................ .. -�.. , � <br /> ........ <br /> ',�LC . ......... <br /> ' ........ .. .. <br /> ...... ..... .............. .. <br /> ........-- <br /> .......................................... �ndent <br /> ................. � � <br /> -------��I.AfIOR AI<D 111AT �RIAI. . �D <br /> No. ' Sizc_r------�-�— - - <br /> _ ___—__ <br /> ................. <br /> Lead Conncction Complcle <br /> ._._..............._ ............_I Saudle Cumplete <br /> ._.__.............................................. <br /> �` ! ft...........:......._.......I ......._:..._....._...................................................PiPe <br /> ....................... , <br /> .............................. <br /> ....................... <br /> Scrv�ce Cocl: <br /> ......... Scrvme Box <br /> .................. I <br /> ....__.... .............._...................................................................... <br /> �...._�..�.._�......... ..�..._�_..._.�.......I ......._....._....._.._......�.._....._....._..............._.._........._�............._........... <br /> ......._.............. <br /> No. Hom�s Labor............................_.._....... <br /> ....C o s t.................................................... <br /> _................_X...._... .............. .......................Sq.Ft. <br /> Cul in..........___...Favcment �� <br /> ....................X........................ ........................ <br /> X........................ ........................ .� <br /> .................... �, <br /> ........................ <br /> ........................ <br /> ...................Total <br /> ........._......__...Sq.Ft. <br /> '------'--�-- — <br /> __--- � .................. <br /> P,c�narks............................ <br /> ....................................... <br /> ........................ <br /> , ......................... <br /> __........................._....,................... <br /> .:..:............ r <br /> � <br /> ....................................................:.:..:........_...:_..............................................- � <br /> ' .................... <br /> ......................................��,......,`_� <br /> Order ??ecci�•ed................. __ <br /> . , . . . <br /> ................ . ....:... ... . <br /> �Vork Complcted.::....-��-...:..;e..L................._�.:..... Foreman <br />