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� �.�! g i � � �� � <br />X,, '��^.._ <br />W. O. �i]RM ] / <br />� CITY OF EVERETT--Vilater Dept. <br />/y// � t:,,a i ,� <br />Application No. _ ...... .. . .... Date................................................19...... <br />� Tnsta inch waterservice pipe <br />............ .. . <br />For <..�.-L... ,......�..`...../� ' � ............................................ <br />C _�..u:.....c..�.f.�. <br />On ......._.��. �? .s�.k.^...:.-...:,,��.'.S..C�.�...�._:.�.� . <br />. L ...................... Street <br />Lot......_....._ ............................ ................ Block No......................._........... <br />Adiiition.......................................................................................................... <br />I'icmarks .............................................. <br />................................................. <br />_ ......................_.................. - <br />_._ ... ........................................................._ <br />__._ .......... ..... _ ..................... _- <br />"""""'���""�' � Superintendent <br />L.�BOR AriD MATERIAL USED <br />... _ _ __'i Size I _ <br />o. <br />-__— _ <br />....._._. _._�..._ ..................._ � Le� d Cnnnection Complete <br />.._ ................................................� Saddlc Complrle <br />....................._ft.. ....... . ..... ........_..._.............__. _....................._ Pipe <br />................... .. <br />. .... ...... Scrv cc Cocic <br />._ ..................._. _ ............. . <br />. __ .................... Scrvice Box <br />� <br />N�. How�s 1,�6or._..........._..._ .........................Cost._.........._..............._.........._........ <br />Cutin..._.._...........Pavement ....................X.........._............ ......._.........._._S9.Ft. <br />....................X........................ ,� <br />........................ <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ ,� <br />Total ..._ ...................Sq. Ft. <br />�=--z ----'------- _ <br />Remar s ............................................................................. <br />................................ <br />_... _ _. _. _.......... _..... <br />Order Recciced ......................._................................ <br />\Vork Completed .........._. ...._._..__....... _.._.... <br />............................... / <br />............ � ..................�� <br />Foreman <br />