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a a. aniee��� �� � � _ .• :' I '' � �S� <br /> w. o. ronH <br /> C TY OF EVERETT--Water Dept. <br /> Application No..:.�_�:_::....1.. Date 1................._�::�L.�........19...::. ?_i <br /> dnstall......._..'-=•-.-:..--•�-••�ch water service pipe <br /> �1 n,, n� '•��� .A.^ ���:�..:::::�--........_. <br /> r`OC ......................wi.,...il.....�Gr.. .......�.i..`...... <br /> ^' .. $tiEet <br /> (' �/ i <br /> On ..................._.,....1.._/...:..........�,�..__::. � <br /> �.�: ......................... <br /> � .. B1ock No..._...._....1._�..............._ <br /> Lot........................�]...:.�..:................._. <br /> Addition ................_--..................................................................................... <br /> � � i � , , , . ..; .�_, , ......... <br /> F.emarks -...�._�_..........._....__............._. <br /> ............................_............ . . <br /> ....................................__ , <br /> .. ,. .� � ......�-�.`_...Li..:............."......_.............................. <br /> .....................i....................._.. , <br /> f <br /> / •� � ) -� � ,. (. , <br /> .......... ...�r�.:._.....t....._y..:.:..............:�..�...�:......"'""..........-i"'i.."/�..... <br /> .... ._'.... .. I . . ' \ <br /> . 'r. '� .�=._....................................�....::..:..........._ �� .._ <br /> � _.........i•'....•......... $LLperintendenL I <br /> ..................... �,' <br /> � ' . % <br /> � f '/, <br /> ' -LABOR AND MATEICIAL US£D <br /> No. Size I <br /> ...................... <br /> ........................ Lead Connection Complete <br /> .......................... Snddlc Comple z <br /> --...................._... ..........PiPe <br /> .ft._. ............_.._........................ . <br /> .................. <br /> ....................... . <br /> ...................... . <br /> ............................ <br /> ......................... Service Cock <br /> ........ Service Dox <br /> ..............._No Hours Labor.................. <br /> ...........................Cost......................._........................... <br /> ........................54.Ft. <br /> Cutin....................Ynvement....................X......._............... �� <br /> ......._...........X.........._........... ........................ <br /> ...................X........................ ........................ <br /> �� <br /> ....................X........................ <br /> ........................ �� <br /> Totnl ........................Sq.Rt. <br /> �— <br /> �----�-----j-- / . — . , , � . � ..._...I.....; <br /> :.... _...... <br /> , i <br /> Remarks......::1.......�..7....,.J..........:.... , <br /> r..:............................ <br /> � . <br /> � .:........... <br /> ..._....................................:............................................................ <br /> • ._--'--.... <br /> ................................................................... ..............................._. <br /> ;� � �, <br /> , . ........... <br /> Order Peceived..........................................................._.._.... � <br /> � .............. <br /> -:..:..:.c.................:............ <br /> \Vorlc Compleled..._....:...............: Foreman <br />