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5 �.�.���,�1� 3 2Z � - � �� �� <br /> w.o.eo.�� �f . <br /> C1TY OF EVERETT�Water Dept. <br /> APPlicationNo..._�.I .�'..�..1�J.Date,/.••..•.^..�chwate�se.�icep;peJ <br /> , , 1 . <br /> For ..............:/..:.........r..,.:.d::�:;�..::1...L:S�_4n.�...�_:...................----.. <br /> On ..........._..1..�.d.J........(.�:,::.'..:>!.5::.:�:�Y.�-.......................... Street <br /> Lot.............................................................. Block No..................................... <br /> Addition ......................................................................,................................. <br /> Remarks � '.1..� , � =�: �_ � ._ c. <br /> ..........._. .............._.................::......................�.._�........----�- <br /> ............................................................................................................................ <br /> ....... '. ......`,....:�........................................................................................ <br /> ;p�.:................... . . <br /> ...- <br /> C /, <br /> . ... .................� 4 <br /> � � ��''�t-?....�.U..j............................._................._{.. , . <br /> ...... .:�::....::::..:. <br /> ' � Superintandet� <br /> ` ! ' %• �/ <br /> � LABOR AND MATF.BiAL �J86D <br /> No. Size <br /> ------ .............'--- <br /> ......................................... Lend Connection Complete <br /> .................................................... uaddle Com�le � <br /> ..._�,.........it..........�� ...............�,.Rr.c:�..��"..:�..t.�::........................Pipe <br /> �...� 3ervice Coc � <br /> ................................................ <br /> ...................................................... Servicc Box <br /> Yo. Hours Labor....................... _..................Cost.................................................... <br /> Cut in_........__......Pavement._....._ ...X........................ ........................Sq.Ft. <br /> ....................X........................ .:...................... .� <br /> ....................X........................ .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> _--�---�-—--.._--------- <br /> I�e:7arl:s............................................................................................................. <br /> ................................................................ .............................. <br /> ........................................................................................................................ <br /> Order Reccived................................................... <br /> , _ - , j..... <br /> .... <br /> ............ <br /> �l orl: Completed.��.- `f. �..� - � �' <br /> ... ........ .._.................. .."'.'.�.�'..^...a.!.. .. <br /> Foreman <br />