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L J. '1110[ 9M ��il I / O O • . <br /> M. O. IOI�M ] � <br /> GITY OF EVERETT--Water Dept. <br /> , /0��-...iw.-,� <br /> qpp:icatioc� No.�I.._�G'=�.,.. Date ........................... <br /> J�1........_`� .- / mch wat r service pipe <br /> �.....�. <br /> , ............. <br /> �.�_........��-�-........................ <br /> For ............................. . ... ' ..... Street <br /> Vn ..................._. <br /> _""i,X.1..�..�.....1� .. 2...:{�r.C'.2"�......... <br /> Lot...................................................•.-•--�--.. Block No............----..................... <br /> Addition ............................_....................... <br /> . <br /> .......................... <br /> Remarks ................�.7.Ll..t..1..-�.....�:x�cS:�r��..............---........ <br /> . ............................................................ <br /> ...;....�..:,.,-�.. ......_... <br /> ........1.�........................................•--.......................................................... <br /> . I ....................................................�-- i " <br /> . . .. n-...�. <br /> � ..f..... <br /> ...�......,..._.... � 1,�.�,% .�. <br /> � \ �........... �. ..... ...,. . <br /> r.�--�^ <br /> . x.....................................---...............---Su�rinte ent <br /> ........ <br /> ...........:.....`...�i <br /> ., <br /> ' .,J ' LpBOR AND MATERIAL QSED —_ <br /> Size I --- <br /> _—N°'---- —__-----�- --- <br /> ..........................._. <br /> ...__...,.... Lead ConneMinn Cc'nplete <br /> ...................................................... Saddle ComPlete <br /> . ............_. <br /> ....._..........................P i pe <br /> .it._. ............. ............. <br /> ....... <br /> ........... <br /> ...................... �crvice Cock <br /> ............................ <br /> .....:...._............. ` <br /> _.,.... Service IIox <br /> .......................... ..._ <br /> No. Hours Lat�z..............................................Cost......................._.......................... <br /> ........................ <br /> Sq.Ft. <br /> Cut in....._.. ....._.Pavemenl.................... <br /> ......._............... .� <br /> ........................ <br /> ....................X........................ �� <br /> ....................... <br /> ....................X....................... �� <br /> ...................X........................ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ._-------- <br /> ---'_'—__. -- <br /> Aemarks....................................................._........................................... <br /> ........... <br /> .. <br /> Orderl�eccived........................___._........................................................... / <br /> ......................... / <br /> \Vor}: Completed......................._._................. .._. ........._. . Foreman / <br />