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a.a•.w�n{�n� �� � <br /> w. o. roRM <br /> CITY OP EVERETT--Water Dept. <br /> �' � ''� � .+� .................ts1 �— <br /> Applicalion No....�........./..... ...�ate..l....�t'._...�:......� �- <br /> Insta}1 '�.'" ' m water servi:e i e <br /> � / ---�- � <br /> �jl � �..j_....-..f1.,' P P <br /> For ..f�-�:.`. ... ..l.:�.'./t+i:~::��....-::�.'..-...........:........_........ <br /> ............. <br /> On ..............:....._�.,,!-��---� ���`-��....._.� Street <br /> �j �_�' <br /> Lol..................._...........l..�........._....... Block No.............................---..... <br /> Additicn .......................................................................................................... <br /> F.emarks .......................�.�............................................. <br /> .....................�--........ <br /> ..�...... .---.-'.:�'���....................................�---�-�---.........-----................. <br /> ..._. :... ..-�--��-� ��-�............. ... ........� .. .. .----.....................--�- <br /> . <br /> -a.. . <br /> .... ...�-��:�--�--.._.......--�- <br /> ...... . .......................................... � <br /> �;,� Superintendent <br /> � <br /> LABOR AND MATERIAL 3RD <br /> No__I Size i <br /> ...................................................... Lead Connection Complete <br /> ......................................... ........... Saddle Comp]ete <br /> .................._..St..........---............... ..................................._...................................Fipe <br /> .................................................... Scrvice C�ck <br /> .._.................................................. Service box <br /> No. Hours La1wr..............................................Ccst.................................................... <br /> Cutin....................Pavement....................X......._......_....... ........................Sq.Ft. <br /> ....................X..................._... �� <br /> ..._................... <br /> ....................X........................ ., <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> . Total ........................Sq.F[. <br /> ------ — - <br /> Remarks.....;..'..�...�...::?.::...............:....._........................................................ <br /> r <br /> ........................................................................................................1._�.............. <br /> � ' <br /> ...... .........................._....---'---.....................---............�..�.,..�.._.......................... <br /> Or,.�r Peceived......._........................................._.......:................:................_ <br /> \Vork Completed,:::..�.-.'..-..j �' ' ' ' � <br /> ........_..:............................................. ............... <br /> Forem;m <br />