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, � `� � � . Y y'( f _. <br /> w. o. �onrn• S ' . - <br /> CITY OF EVERETT--Water Dept. <br /> �-:��� <br /> Application No..��— Date........__:,::_r..::::..i`�..........19.�'.:� <br /> . i <br /> lnstall.........�,s�....%.....inch water service pipe <br /> • � . <br /> For ................�rlG.....�' /.�l.�r�a�.-,............................................... <br /> j_�/G -...���,�c.�.�._<'l..'...._' .: .�, <br /> On .............. ................. �.� <br /> � �s.....l.�.................... Street <br /> Lot............... ............................................. Block No......:��...................... <br /> Adilition ............................. ...................................... .................................... <br /> Remarks ..`.:!J.Zr1.s:n....�.s�[s.c.�..:....:........................... ........................... <br /> _..._......_..-�Lrt:,cc.._.._c���_.�.<::,r........................................................ <br /> / <br /> ................................................................................................................... <br /> ................................................................ ............................... <br /> _. ....................................... <br /> � <br /> `, r�<... ............................. -.<:...�.....t:.r..y........... <br /> ��t� ,l"'Jrl���-L SuperintEndent <br /> _— _ ��L ����:.' <br /> LABOR A1�D 11iATF.RIAL USED <br /> No._ _j Size � <br /> ._____ __ <br /> ................_...__.�................._......_I Lead Cnnnection Complete ; :�.I.v" ,-� .-��-, �-,�.. <br /> ._................................._.._.......... ,a�dlc Cemplcic ��: �, . , . <br /> ......_... „3.tt.....3./Lr.............. Si__r.�...,:.......�.._. �...Pipe �. <br /> ._._.........................._.'...... . <br /> ........._............�....��G<........._. Scrvicc Cock .. , . ,. <br /> ...................._.� ......._.......,......... Scrvicc Box � . <br /> No. Hours Labor_..........__..._................_......Cost.................................................... <br /> Cutin...........__.....Pavement...._._...........X...............__..... ........................Sq.Ft. <br /> ; <br /> • .� <br /> ,1 :'i ,i.. !, . !. ��/................__ .........._............ ........................ <br /> . <br /> .. <br /> , ....................X........................ �� <br /> � . - .............._........ <br /> ....................X........................ �� <br /> ....................... <br /> Tolal ........................Sq.Ft. <br /> -- ------- -- <br /> -- -- <br /> Reinarks........�./_Z.... I......,d t-...r.�,.................._.........................._......_.. <br /> `f �r.,. _s.,. .: . ., <br /> ._.. �. . <br /> .........:......�..�__....._................................. <br /> ...................:.�...t.:,:�.c.,,ti......................................................................... <br /> OrderReceiced_. ..................._ ................._...... _ ____....... .........._._........ <br /> , , <br /> �Vnrk Ce .iplMed.L-.:._,.�.�.;_-.i.:......._ ..._..,:..�_...!._�..F:t.:.� <br /> For an <br />