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a.i n�inc ar� / O � � � .. <br />w.w.-�uiii�a •� . <br />CITY OF EVERETT -Water Dept. <br />' ' - ' ^ .. is_!._'` <br />Application No.....y(..: �..:.'.�.. �Date....i:..`.:�...:.......� :..:............. . <br />Install......._... " ..............inch water service piPe <br />...... <br />For ............... % / <br />................................ ...r....... ............... ........................... . <br />) � O / vl�G: ( � "l.S.S:'= .:.:........................ Street <br />On........................................................ .. ...... <br />, _� - --......_..---.. Block No........_ ........................... <br />Addition.......................................................................... . -- <br />................ <br />Femarks ....................._.� ' — J <br />............................ :. . <br />...... ............... <br />; <br />. . � -._— <br />..:.....: ( .....::..:............................................-- <br />.............................................. .:.:? � :... <br />i-...�,��� <br />�......:: : ...:: :::::::::� ::::_ ::.......:::::::� ........... . ::::;:::: _ ::::_::�:::_: ::::---:::::: <br />...... .... �.........., <br />.-- <br />.. ^!_ _) :_.Q ........... <br />� ./ �..��./.`, .................. <br />._.......... ..............._............................... • i � SuPerintendeni <br />.. �/r�y <br />i .. <br />LABOR AD1D MATEBIAL DSEA <br />Lead Cunnection Complete <br />Saddle Complete <br />Scrvice Cock <br />Scr�ice Box <br />......................... <br />� <br />No. Iiovrs La r .............................................. <br />.._......... <br />.....................__ _. <br />........................SQ. Ft. <br />. Cu'. in ....................Pavement....................X......._......_....... �� <br />� ,�� ...................X..._.............._... .....__......_....... <br />, ; ,� <br />� . , ....................X..............._....... ........................ <br />- � .._ ................X........................ ........................ <br />�� <br />- - �� Total ........................Sq.FS� <br />Order Peceived ........................................ <br />........ _ ......................................- <br />/ <br />� ........................ _..........................Foreman <br />1t%ork Completed ...................... <br />