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,%, . <br /> w�����8 9 <br /> CITY OF EVERETT--Water Dept. <br /> • - .s"�' ��.•,_,,_,_;; f_ ,;' <br /> ApplicationNo.............1........ Date.�.:.:.:.....f.::4'.--.::::._.._....'../...19.�� <br /> ;,� Install.......�!;..."...........inch water serrice pipe <br /> For �� t, � <br /> ..... � �• i. <br /> ................................. ��...:?._�.:.......... <br /> G . .. .:................................................... <br /> � '—. <br /> On .........�..�...r::..c.............�.�...�.. , : : � . Street <br /> � �... ....................._.......-�---..... <br /> Lot.....................r.�.5...............................!Block iQo.........�."`�..��....-----........ <br /> Addition ........................................................ .......... <br /> ..--•-......._..................... <br /> Remarlts ............:..:.......... .. ... ..... <br /> - - <br /> ......................... .:...�- ............................ �....................---.............................. <br /> ..' -•� , ,, .,, a <br /> - �---�...:.....:................. ...::.............................-------.......... <br /> �.,3'� '�' /� • <br /> ..�rf� . 6.e.J��:!':...................................:...........---......... .. .1..........---• <br /> T. <br /> ..... , <br /> ...' .... <br /> . ••' " ..�a ,•. na, <br /> ..... `..�t._..��.-r�......................... _�.:. � . <br /> / ....... ..... ..... .._. . ....... <br /> permte ent <br /> �;. _ t (7 . ,i. . <br /> LABOR AND MATERIAL II6SD �� -- � <br /> No. Size <br /> - ---- I — <br /> �--- <br /> ...................................................... Lcad Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................f t............................ ........................................................................Pi pc <br /> ...................................................... Service Cock <br /> ...................................................... Scrvicc Dox <br /> ....... .......................................................................................... <br /> .......................... ................ .. r .�,r....r....... � ............... ......._. ....�................................. <br /> . ../.. ..... <br /> . �F�. .� /.�...�.�.�.�:...A �................ <br /> .... <br /> .. .. <br /> ....................................�...��_. . ./.. � . .. .I.:�a�(.......' . / i \ <br /> ..................................................�.. <br /> ........................... .......................... ................................... � <br /> Nu. 13ours Labor..............................................Coat.................................................... <br /> Cutin....................Pavement..._..............X..._................... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --- --- <br /> Rem arks.............. ................................................ <br /> ........................................... <br /> • � <br /> ,r <br /> ._...................................•...... .........:..._ �... .. <br /> . <br /> . <br /> � .. r................ ........................."' <br /> ... <br /> � (,'i>'.% f . <br /> __............._......_.._.. .... ....�...: ..pC..f.:...,:�:::�;?................ <br /> ....................... <br /> OrderReceived_._........................................................................................_,- <br /> / <br /> '�\'crk Compleled_......................._......................................................... ..... <br /> Fore�n <br />�� <br />