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� <br />,` <br />� <br /> i <br /> i <br /> _ .8 9�_ � ^ ✓ �' <br /> W. D. fORM � <br /> CITY OF EVERETT--�'Uater Dept. � <br /> ' ; , ,-; ; ., <br /> ! -•, � <br /> •> , i /_ I " <br /> Application No...i::..::..:.::...F..,. Date...:......... ........:.'....:..............19.:... � <br /> Install...:::._`:....................inch water service pipe <br /> Fer .................;-........................>,v-._............................................................._ i <br /> On ........._....:..::::..'.�._,....._�:...:.:`..:'.S':—..............................--. Street <br /> �i <br /> ,., . .; _, <br /> � < <br /> Lot......................::.:....�:................_:.-�----.. Block No.....:.---.::....................... <br /> Additimi ` .:............................................----.. <br /> .....................�.............................. <br /> ;, , ,, : . . � <br /> Remarks .. . , . ............................. � <br /> ..................�.......:_-............................................... <br /> ..................................... ......................��---...............................................--�--...----• <br /> .......................................... � <br /> _._ .................�.....:._............................... .:;:.�.1;.........,..,..---�--............... � <br /> ... ... <br /> ; . -- < ,. , <br /> , ; ,_ � .....:........... <br /> �J.:.�...::........................:.........,:.......... ......... . <br /> ............... . � . <br /> .. <br /> � � � % Su erintendent <br /> l . <br /> I.ABOR AND MATERiAL U9ED <br /> _ No. Sixe � - <br /> ...................................................._ :.ead Connection ComPlete � . <br /> ..................................................... <br /> Snddle Comp:ete <br /> q l ' i �:�_ � <br /> . �... � L.C.:.'.1.........................................Pi e <br /> .........._�1....ft..:'l...y............... /.' .. P <br /> ....................1....y.l,C,/.............. SerJf�c ock <br /> ............................. Servicc Box <br /> ...._.�_..........�._.._....�....�.�_........._.._..............._..........._....:._..................._....... , <br /> No. Hours Labor..............................................Cost.................................................... . <br /> Cutin....................Pavement....................X........................ ........................SQ.Ft. <br /> 3/� `�' ....................x........................ ....................... <br /> �� <br /> .....X....................... . „ ; <br /> ... .......... ................... <br /> ��� ��,� ........ ..........X........................ ......................_. ,. <br /> Total ........................Sq.Ft. <br /> - --- ---_---- <br /> Remarks.........,�.�... � ....:�:<`,'..�........................................._............ <br /> _ ....................._....7._:r.'....1�i......C.�:e_.�:...................................................-- <br /> . ......... .... ....�...�:�..s�.:............_........ ........._.._..... ..........._....... J <br /> Order !3eceived....................................................�..,... � <br /> �./.. ................................ <br /> \Vork Completed.L.�...-1�.`�..�...........::::i,.t. •![.:�..�.s::.-............... <br /> Foreman <br />