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. <br /> � <br /> - - - 1�`i�.3/ _ _; ,��-� � <br /> w. o. roaw a , [ "+f <br /> CITY OF EVER�TT--VUater Dept. <br /> � r, , , <br /> Application No. ._C.::`._�./_.. Date.....:.-.::..:::�................__........19.C:r� <br /> Install..................._..........inch water service pipe- <br /> On ................. ...._........_._......... �-:t.� ....................................Street <br /> .. �............:. ... <br /> l l�f � � �� <br /> ........... . ......._..... .. . . ,................................... <br /> Lc t.................... ........_:�....-._-. ........ <br /> .......... ............ Block No..................................... <br /> .4ddilion .................................................................................. <br /> ........................ <br /> Remarks ............................................. <br /> ............................................................. <br /> ......:................................................................................................................... <br /> �, <br /> ._...::�....._.........;.`.:.:............................. <br /> .............................................................. <br /> _ <br /> _..:,�..::...�_7........_:.:..........................................._.............................................. <br /> ......................................... ............................................................................... <br /> Superinlendent <br /> LABOR AND MATERIAL USF.D <br /> No. j Size � <br /> -- --- — <br /> ...........................�........................._I Lmd Connection Completc <br /> ...................................................... Saddlc Completc <br /> .......................ft............................ ..._..._...._.........._................_._...._.................Pipc <br /> ..................................................... Servicc Cock <br /> ..................................................... Servicc Box <br /> No. Aoucs Labor..._.........................................Cost...._................................._._........ <br /> Cut in....................Pavemenl....................X..._........... . <br /> ...... ........................Sc�.Ft. <br /> ....................X........................ ........................ �� <br /> ....................X........................ �� <br /> ........................ <br /> ....................X...............,........ �, <br /> ........................ <br /> Total .......................Sq.Ft. <br /> — ---- ----- <br /> —__--- <br /> Remarks.................................................................. <br /> .................. ........ _. <br /> ............. ........................................................................_....... ................... <br /> ...... ............................................................................................... .............. <br /> GrderRemieed.............................................................................__. ....._._.. <br /> � <br /> \Vark Completed..................... ...__........_._._. � <br /> _.. . <br /> Foreman � <br />