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V ti 'i <br /> i n�..Pi1t11N 9M �� 7 _� 1 � ��J O D <br /> W. D. IO�M ] <br /> CITY OF EV ERETT--�Uater ept. <br /> J�� �7 - --, <br /> 1 Da � .�:?---......18}_:'J <br /> Application No..�-.•-••••�•�•�•-•• _� " . <br /> Install..... � .`�..........infh water service pipe <br /> z`.^:...._/�•.:..�...:.,�,�/2��..�...1................_..... <br /> For .................. .......... <br /> . ... <br /> � � ,� � ... Street <br /> On ................./...:'._�...�.......�1�`ti,.r s.t! .:� S-�h ../............ <br /> -• �lock No............._._..---... _..._.. <br /> Lot..................._................................_.._. •' ,, <br /> . <br /> - <br /> Addition .... � � <br /> .........`..--•_.............. . <br /> ....... ........................................ <br /> ,..... <br /> � � ' �..r..l.�:�=�� <br /> Remarks '✓.�:':.:z�.;._',.:..<,....I......»..._ J ...._�.. <br /> �t'�.4`..'YvL/ <br /> "_.... /"�• � ' � `1J <br /> � / / � <br /> � / �� �..L-.......�.l.y.. � J.�w.Lwi-.......... ._......_......i.:x. <br /> ...................{.. <br /> :Z..... .............. , <br /> � ""'_......................... ��. .._.__.................. <br /> .................:........._................................ <br /> ........::. .... .....'--tt�-`1....._�.p�.....................................___�.,�!t.��, <br /> �.`�.. ..� �-......--••-......-••-•......................._:y:.../ .. __.. <br /> �. � � <br /> . . ?-•; I'-�--. �..... 5u tntendent <br /> t� ;� � � �J� -- <br /> � . i'�...��^t k LAROR AND MATB&IAL UBED <br /> a • <br /> No. ' I • s E I <br /> _�__ <br /> ......... <br /> -•--^.......:.'.;:....................... Lead Connection Complete <br /> ....... <br /> ................... Saddle Comp e <br /> .......................... . ................PiPe <br /> ..it.. ............. <br /> ................................._....... <br /> ......................... . <br /> ..................... � <br /> ......... <br /> ................... <br /> .................. Service Cock <br /> � .,...... Servicc Boz <br /> ....................__.. <br /> ...........................009�.................................................... <br /> No. Hours Labor................... ........................Sq.Ft. <br /> ......._......_. <br /> ...... <br /> Cutin....................Pavemen .................-� ., <br /> /`�- �.`/ s ......._..........X..................._... .....__.._..._..._. �� <br /> t '--.X........................ <br /> � — � .- I-, C'� ...................X........................ ........................ <br /> �`, 1 <br /> Total ........................Sq.Ft. <br /> ---- <br /> .,. . • ...:.:...............................................�...... <br /> P.emarks............................................... . <br /> , .:_t..:.._,. <br /> .__........................................................................................,�; . , ,,. <br /> ............ , : . <br /> ...............................................................................................;.,...,,_- <br /> Order Peceived...................:.................:....................:........:.:...................... / <br /> ............:.... .__........................... <br /> \Oork Completed...:�....:..�:.::...............:::..._. Foremar. <br />