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t/ ✓ <br /> v�u�o m D 7d6199�3 6 O• : • _...�� r <br /> !.,,.r.� .�l f.. f�.j <br /> CITY OF EVERETT--Water �ept, . <br /> Application No....��.ro..U.. Date.........................:.�:.��.�/.J.,#:_� <br /> Install..............�/a✓.,.�ch water service pipe <br /> For ............................................................... <br /> ..................................................... <br /> on ..............�.D...f1..b...-...QG..........t.1:s�.:.e_.l�:.t....f�_:.�::t./.�!street <br /> Lat................/..�:.-..:�:.:d.......................... Block No.:............._..................... <br /> Addition ............... <br /> . . �� � .................. .... . <br /> Remarks .........�_�,:...i... c..�..::....:..,_......-..... 1�.�,v �r�•.r_�. <br /> ' . _ <br /> . . . . J�......................:..........1__ <br /> .�t.........l1..(./. '-w ...'" <br /> �Ij-1...........`-'....�. .-'.................................................."""'............................... <br /> . .. . - ............................................... <br /> .......................... ............. <br /> /..�1.:.-..�..-..6_�...........................................................`�.............. ' <br /> - <br /> .............................................................. , �..... <br /> ..:��-. . � <br /> ............................._.�.-----....._. <�__ <br /> Supetin�eRdent <br /> I <br /> LABOR ANp MATERipL IIBED <br /> _ No. Size j <br /> ..................................................... L�nd Connection Complete <br /> � ...................................................... Saddle Complete <br /> .......................ft............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> n*o. Ifours Labor..............................................Coat.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ .. <br /> ........................ <br /> ....................X........................ .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tot:�l ........................Sq.Ft. <br /> ----- - <br /> , - — <br /> i i � r <br /> Remarks.. �-'� a• ,�— <br /> .�........... ��...:............................................. <br /> ..-•................... <br /> ..................................................................................................................... <br /> ...............................................................................................................�--.. <br /> Order Pr.ceiced...._.................................._................�..:....:. <br /> � . � ., , �.......... <br /> ......_.. <br /> \';ork Campleted...�..::.�.�.........�...... �. -`� t ',:a.J�. ..... <br /> ......._.......�.� .....L................. <br /> Foreman <br />