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d .�. �rnicac� �'�1 Q _'j � " ' _. _' _ _1i .,/%,� a^�.. <br />w. o. ioWw I r• y . / <br />CITY OF EVERETT--Water Dept. ` <br />� <br />A �lication No..��Y_:'._.� Date ��.-: - .....19...... <br />, <br />�...... � ; .. . ............. _._........ <br />lnstall.._..'�rr...:_!..........inch water service pipe ; <br />� : j�� r. .. i '� ti; N i.� • . .. � <br />i � <br />For .............:.:....:..:.......:..:..:. . �:... i..............:..........�L�:,:.1.!..:........ <br />f.tl f %1�., /•�,_�.� , u, � . <br />On ........_�:..�..._.5:........---.....:....( .:...:.....:.:..i:::..::..:._............ Street <br />Lot...............�1:............._................---.. Block No.......--••---...................... <br />Addition...............�.........�.......-�--..................................._........................ <br />Remarks �� .�.. ::..t : � t_.::_..:._^_-i � , � � ' . • � . <br />......... � ._..... <br />.:..._ ..... ................ -- <br />/ I . �.._._..._.. <br />.'' �,4�-..R:: }...yaYl..:_...:..!,::...�.�....."_ ............................:.........................._".. <br />.... _ ....... .. ......... ....... ............"'"'........_............... ...._...Y .. ..........."" ' <br />� � .. / ..... . , / k� . eupeiintendent <br />� i. J 3,� r/ _ �. <br />'"" LABOR AND MATtiRIAI. USED � <br />o. Size � <br />—'— — <br />........................................� Lcad Connection Complete <br />...................................._._ Saddlr Complete <br />. <br />ft. _....::r.i.[ ............. ..._L.:<4 �.f�..'l.L.::.:._.............................._......Pipe <br />J - <br />_... <br />... ............. �f=f............. Scrvicc Cack <br />I........_-z.t:.t.t�tl�:..... Secvice Bux <br />No. Hours Labor ..............................................Cost..................................._.............. <br />�ut in ....................Pavement....................X......._............... ........................SQ. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />..................._ ........................ ........................ <br />,� <br />Total ........................Sq. Ft. <br />-----_ ---- --- <br />Remarks.-- ...................'�..:lc_,<, :;�. `�r.�:....�....t.:;.�,. �"r_.c.�............ <br />_ ........................................t.�l..t! :.:>.....�.......r.). � Can;....._.............._.......... ........ <br />.................................................................................................................."'......... <br />Orderl.eceived._ ......................................_.._........./................_................... / <br />\b"ock Campleted .G.-.� � -_i.._'E .....................i1..�..��:l:F-i�,......_.. <br />Foreman / <br />-�. t-y�r. <br />