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i <br />� <br /> � /6 �.3� - -- � ; y- � <br />' w. o. ro�w a <br /> CITY OF EVERETT--Water Dept. <br /> , - % � <br /> App:ica'ion No....C...G...�.--�.. Date..........::'...:.:`t..�_...._.............19.�_C� <br /> Install.........._�' � inch water service pipe <br /> ............ . <br /> ; � ' . . <br /> For ......_..:�:.-..:.:.. ! �.,...�...:<.,�:.�:................................ <br /> /..............wJ.................. . <br /> � <br /> On ....................../��:.;;f/./.._!...........'..:!..:....rx_�:.::�..:.......... Street <br /> Lot......................... ................................... Block No...........-----..................... <br /> Additic� .......................................................::............................................... <br /> Remarks,F��.z:L:f,...L.<<..�x.:.C./......._�.�:t�«.::.:�.�:.—.---..............--- <br /> ................................................................�.:...................................---................. <br /> G - / <br /> .,i:. ......................... <br /> u • ...................................... <br /> ........................�...................� 1•-�-�-- <br /> . <br /> ` , .._.�:�>.......:._..._.,.r...?.1........................................._�..........................-----._�-- <br /> ,LL ; <br /> . . . ,�- <br /> � ............ ..................................................�..:.<..:�.�._�..�,......./.�:;:.:... <br /> �....:.;F — � <br /> � (�- . � Su ecinten4lent <br /> i <br /> I�t=� ' �_�✓i'���!'c_ <br /> LABOR AND MATERIAI; US D <br /> ........._No. ........Size , <br /> ,,,,,,_�,. .,,....... :.cad Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................ft............................ ........................................................................Pipe ', <br /> ..................................................... Scrvice Cock <br /> ...................................................... Servicc Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavemcnt....................X........................ ........................Sq.Ft. <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ......................_Sq.Ft. <br /> �—-- <br /> Remarks........................................................ ............................ ••---............... <br /> :::.::::::::::::::::::::::::::::::::�::::::::::::::::::::::::::_::::::-:::::::::::::::::::::::::::_::::::::::::::::_:: i <br /> OrderReceived............................................................................................... I <br /> \Vork Completed..........:...........................................'.:..;.:::.......................... <br /> Foreman <br /> - ' <br />