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LiTPI[C �11��� 3 - • . <br /> W. D. IOIIM ] <br />'� CITY OF EVERETT--Water ept. <br /> _ � <br /> A llcation No....�In�'� � ` � �% 19.::� j <br /> -- <br /> PP ............. Dat�e..................-- - ............---... . <br /> stall.._,.;. .._..-��.......inch watIe,r service pipe �_ <br /> ' / .-{- �Yii � F ' .. c � <br /> C([ C.� / n - l. L ti � Ui . ...:.S t1::.S <br /> .��� �.. . ... . ¢ ........... .. - . <br /> .... •. <br /> For r hj' � ./�� ? �. ,✓, �7 ��.5/................ treet <br /> � � �, <br /> ..............._:._....n......�.�.y......_s....:.....:z ..t,........... <br /> I.ot..................._.....! 1 .......... cj_....... Block No........_......_ ................_ <br /> .... <br /> �f z.�r. � ._,C.�..:............................. ....._........... <br /> Addilion ..............<... . •c:�--',T.... - , , <br /> ......... <br /> . [�C' ( � r,.< <, • ,� . <br /> -. . �'- <br /> _ ..._., ......._ .....:........ <br /> F.emarks ................:.-::..................................................... <br /> ,.._.......... <br /> ...;_....I... .... .. ....�.t....�............................................ ................_......--•-- <br /> . .. �.. <br /> .........:....... <br /> , ,, .� �....,�j ... ......... <br /> . „ _ , t 7-..�... .. <br /> .. ..........J...1.�...................................... � , <br /> a ..................._..,�3. . / , <br /> .� � . <br /> � •..�:................:..:�.?�..� <br /> , . .-; <br /> � ' • ...��}::...-�y..... ................................... Supe:intendent `� - � <br /> _......... .L:�"r'.. <br /> a. , � <br /> �---- . <br /> I,ASOft AND MATERW. USED <br /> No. Size �-- <br /> .................... <br /> .................................. Lead Connection Comp!�te <br /> Saddle Complete <br /> ......../.�.�.]�......................................... r , , ............PiPc <br /> .......Y•��-��...tL.......�.l................ .........I.�..2rL�wVn:.:.�..�....................... <br /> � <br /> ..................l...... <br /> ,�..}............. SCtVICC COCIC <br /> ................ Service Box <br /> _..................._... <br /> .........Cost�................................................... <br /> No. Hours LaUor..................................... ........................SQ.Ft. <br /> Cut in....................Pavemenl..............._...X......._.............. �� <br /> ....................X........................ ......._............... <br /> X..._................... ........................ �� <br /> .................... �� <br /> ....................X...................._. ........................ <br /> Total ................. .59.Ft. <br /> —---'-- <br /> Rema rks............................................................................................................. <br /> . ......................_..................._..._........................ <br /> ......._.............................._.......................................... <br /> Order Peccived._...... .............../^.._.............._.......... .......;.. ... ............__ <br /> ,. , ,•. , <br /> ..................:._.�. ......:..,...... <br /> \Vork ComPleted::......,.�.-K::.t'...1......:........ 'eman <br />