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w. o, ron <br /> ,��9��r- . ;.�- 1 � <br /> CITY OF EVERETT--Water Dept. <br /> 7 �, � , �l - �. <br /> Applica[ion No../..1..�.�...�... Dntc......�Zl.'_�,�....�...,�..........19.�:i <br /> Instell.......�.....:....�....inch water service pipe <br /> � — <br /> For ....., .�':lz�l:.t.......�.1.:...... '< <._'_Ci:_�....................... ... .. <br /> �� ... <br /> 7 <br /> OnJ.F?. ..�......:���........�1.�.....1:�<.�:. .L..................... Street <br /> Lot.............................................................. Block No...... ............................. <br /> :?dclition .............................................................................................. <br /> ............ <br /> Rcii�arks ...................... ..............................�.�.7...................................:............... <br /> _ �.l'—�.x_�.........._��.z5...t..�:�.:C::._d.C.ti[�::.z�L.1:-r__.r./:>.r•'.�r.SS�.:... <br /> / <br /> c // / <br /> ........._._...: J;;<............. � ✓ el�N. ` <br /> � � . 7 ._f._......�.d..................._C.: .'i..........:....L...,l..,c� <br /> . :� .�.� .`� �� � . <br /> . ..............y..�......... , <br /> y:a...�...................::.. <br /> ' ` .J. .. ,� ,r �r� ..._..._�............. ...:............. <br /> 1 �.�... . ... ,..r.k __.. ;_..i �a..:� L ......�Ss:� ;�• <br /> �. � y` ' � � �- �Su��erintc�d�nt r � <br /> � �! iC t [ c �_ <br /> LABOI>, ANU TIATERiAI. USED <br /> _ No__ j Sizc I � <br /> I —r. —.— — <br /> ....._................................._ ......._ � Lead Cnnnection Complr•^ — <br /> ......._......�._...............................' S�ddlc Complcic <br /> .___....�� ft...% 'S.::............. ......._...............................................................Pipe <br /> ._..................1.........,:,/[_i......_ Scrvicc Cock <br /> ..._...................1..............._.......... Sl'C:'1CC BOX <br /> No. Hours L�bar..............................................Cost.................................................... <br /> Qit ia.............._...Pavement......._...........X..................._... <br /> ........................Sq.Ft. <br /> ,� ....................X........................ ., <br /> ........................ <br /> . ...................X........................ �� <br /> ........................ <br /> ....................X........................ .� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ----- -------� <br /> r . --- <br /> :e�narks..........Ll _. � '_E..c:.<;..<...c............................................ <br /> ........... ................ . <br /> ........... ..._..W:�..__.�'�.,.._._;_�.r.�!:...-...�......._ ....................._................. <br /> _..........................�....ra:i:��s,->:.4................................................................. <br /> Order Receieed. _.........._........................_.............. j <br /> .. /_....... ..._.............. <br /> J <br /> \Vork. Complcted....::_.:..,:_.`___._.:....:... ..........._ .:::.:...'.:._.L�...:c...,..:....... � <br /> Foreman � <br /> Y <br /> 4 . � . <br />