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:. J. PNICflC ]M '� ��� • � N <br /> ^. O. IORM ;1 <br /> CITY OF EVERETT--Water De:pt. <br /> t:,�iau . / <br /> Application No....._�. . .. ...�' Datc......_:.;��.:��.:�.._...[.... .1�J....�� <br /> .............._.........��.inch water servi�e pipe <br /> For ..__..................__�.7.... . .......__.........�../..��..`..................._............. . .... <br /> .... <br /> �h ./�_.�........`,..�r1,.c�...:C`:.l!�"..�'.�.:'�._............._ Strect <br /> On .__:.... ... <br /> LoL._ _._................._................................ Block No.................................... <br /> �ddition ................................................__.__....... ..._......._........._................ <br /> licmarks .... .................................................................................................. <br /> _......._..._........................................._............._......_.........._.... ...............- <br /> _................................................_.................._...._................................_....... <br /> Superintendr.nl <br /> LABUR A1U DiATF.RIAL tiSF,D <br /> No. Sizc i � <br /> . . _ —__.. — _____ <br /> . . __ ---.—__—_ —__—--- <br /> .__......_..._�_..___.. .._.__ _� Lcr�d C;�nneclion Co�sUlele <br /> .__. .. ._..........._!......_............_._. <br /> � S:iddlc Cnmplc�e <br /> . .._........._ft............................ .. . ......__ _ .__._.._........_...._._..................Pipr. <br /> . ................_..... Servicc Coci: � <br /> . _.... _._........... . <br /> _ _ __......... . <br /> .___......._....:......... Seraice IIox <br /> No. Hours Labor........................:....................Cosl......................................_.......... <br /> Cul in.............___.Pavemcnt X......._............... ......................_Sq.FI. <br /> _.................. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X.........__........... .� <br /> ...................__. <br /> ....................X...___....._..._... ,� <br /> .............._......_. <br /> Tolal .._..........._.......Sq.Ft. <br /> ---._.-. <br /> _ — '-- <br /> Re i n a r ks............................................................................................................. <br /> ....... ......................._....................................... .._._.._........_.................._._._ . <br /> ............_.._........_. .......:...................................................._.................._.....__.. <br /> Order !?recic ...... ....... __ � <br /> \Vork. Cc;nF _ _ _ ._ _ <br /> Foreman <br />