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- '/�'/ � � , _. . 9��-.� <br /> w. o, ro�� a <br /> CITY OF EVERETT--Wa�er Dept. <br /> /lir� <br /> Application N�. Dat/e...............��7�n.,-c!�:.:'..-....19_l.`• <br /> � l inch water service i e <br /> T�stall.........../. <br />� , , a v <br />� _: � . ,,............. P P <br /> .-_ <br /> �,� � � .. <br /> i "- For .. . .�.... „ <br /> _ _ ' ...... ..n..... r4..� -L:`wh:1...��:............................................ <br /> On ..........:r.../._:3'/...---.?:::.u�.tc._.............................................. Street <br /> Lot...... ./..�.l..ti.................................... Block No..................................... <br /> Addition ......................................................... .............................................. <br /> , <br /> Remarks ....��::��..� ,. �..�... — ,:<>.•-<« <br /> .............:�t:..................-------... ...,�.......................... <br /> ......................... ...................-•--...............................................---................ <br /> ... <br /> ........................ ..:...� ...............................---.................--�---................. <br /> L �...�� � <br /> ......................../ihii?.........� �L.<.:................................................-------............. <br /> .....................r.,;:�..._:`.:...� ��:�.. �r,cL../.�.�...�:r.-r . <br /> e , n .. . y............""'........... ..�Y <br /> ��+�� y� J��� Superintendent <br /> h;'"` ' � <br /> �c�1 :?��.,.�t i�r et' ),m ;.� <br /> LABOR AND MATEAIAL U$ED <br /> No. Size � <br />� ... ......................................_..._ :.ead Connection Complete <br /> ..................................................... Saddle Complete <br /> ................_.....it............................ .......................................................................Pipe <br /> ................................. .................. Service Cock <br /> ...................................................... Set�ice Box <br /> �Io. Hours Labor..............................................Cost.................................................... <br />' Cut in....................Favement....................X........................ ........................Sq.Ft. <br /> ....................X.................. �� <br /> ...... ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---'— <br /> Remarks..........................:�::.....:..::..:................................................................. <br /> .....................:................................................................................................... <br />' ........ ............_..................:...:....................................................................----... <br />� Order Receiaed......................................................................................._... <br />' \Vork Completed......:.....:......:.......:..........................................................._.. <br /> Foreman <br /> il <br />