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/ <br /> /Go9s' - ��;� , <br /> w. o. ro�w � - . <br /> CITY OF EVERETT-V�Iater Dept. <br /> •- n <br /> Applica!ion No%.G-.c'...%.)... Date.....�.:.::.E't:...�.�. ....... <br /> �/, T�stall.........._�w...:........ .inch wate ...... . ......- <br /> For�`�.0 %�- ^ . , r service pipe J <br /> .�.�:......._ .. <br /> On�`��� ��o.._, .-��sz:-..i_�.y/' .... . ., .... ...... <br /> . ........... <br /> � , ... <br /> , . _, . ,� � ........�. <br /> , .. . <br /> ......................_._.. . - : <br /> '� � :....... � treet <br /> .. ..._ <br /> Lot......:..�'�.'.-�''.�'�-'�"-�+c�r::. ock No.......�........................... <br /> �ddition S, ✓✓ <br /> .....�...............................:.............. <br /> _ .................................................... <br /> Remarks .��:-t.�.,.�t[..c:..:�.....-... -1.c.::..:r.z�:...........-- <br /> . � <br /> _..................:................:..C)`_t........�.................................................._.--'-- <br /> .........5................ <br /> ,��y. ........._....................... <br /> ...................... <br /> ..,/.... ...._...:..... �.�: .. <br /> ' ...y...c......................................... ! � <br /> � ........ ....�Y� <br /> � ,�.C`�i�'� ._2'•�r�� <br /> �................. . .................................................. <br /> {t,.........��.. . ....... .. .����- <br /> � <br /> �= � ��`�t�� <br /> LABOB AND MATERIAL USE <br /> __No. ' Size <br /> —� . � �— <br /> ...L.......�1..��_ ��te <br /> ............1......... � !°.�.i.�a..L. `�e'�'�m'N3� <br /> �.. <br /> ......_3.'f.�....it...c.....�..'.;"z'i <br /> . , ,. .__.._.............................................................Pipe <br /> .............../.........:r._.rli/�f.r.a.G� Sercice Cock <br /> .................�........_�� Z ..... Service BoX <br /> �.. ..... <br /> .......�............._ ._.._�.................I ............�.�....�.�......................................................................................... <br /> ........................................................... <br /> — � ................ <br /> No. Aours L,abor............................................Cost.......................................... <br /> Cut in....................Pavement....................X....................... .......... <br /> ........................Sq.Fl. <br /> ....................X........................ <br /> ........................ �� <br /> ....................X..........:..... ....... <br /> ........................ � <br /> ...................X........................ <br /> ........................ .. <br /> — Total _.............Sq.Fl. <br /> ----- --- ......... <br /> _ ___ <br /> Remarks....................:^.z_z.i..e.r?:::�..!_...... <br /> ,: .............................................. <br /> .............% '�i '� ' , <br /> ....�......:.....:.'....�....:h,La. <br /> .......................... <br /> , ............_............... <br /> � �+ � - <br /> .............................../i..IL:..f� ..•.�..::1:.._!�,,..�.1.:.::.::C:: <br /> � ........ . <br /> Order Reccieed...�.��._'.:.u._:..:�..i....._...................... ............... .. ........ <br /> \Vork Camplcted_�"�. ._:......::.... ......................_.....�\�'?31;J '( <br /> _,., <br /> ....... .... .......... <br /> Foreman <br />