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,: �: ow��o���3 9 2O ',' <br /> w. o. ronr+ v <br /> CITY OF EVERETT--Water DeNt <br /> Application P�a. .1..;.f.,i:..�1J._. Date.........:E�......:..t351..................19...... <br /> i Iastall..._:.........................inch water�:rvice pipe <br /> „ ` � <br /> � . <br /> F„• ._....�...:L:_u..�.�-�.... ...._:.r..t....::...��.z:.�:-_............................................ <br /> On ..................f..!:�T._..1....._..... ...................._................................. Strect <br /> Lot............................................................. Block No..................................... <br /> :Lddition ...._........._.................._.........._.................._._.................................. <br /> Pemarks .......................................................................................................... <br /> .......................................................................................................................... <br /> ......................................................................................................................... <br /> 1 . <br /> ............._...............................................................�i�l..�..................................... <br /> Superintendent <br /> I.ABOR AND MATERIAL USF.D <br /> No. ' Size i __ <br /> -- --- - <br /> ........._.................................._._.._ Lcad Connection Completc � r :.�,;� .} <br /> ._.._......................._..................... Saddlc Completc h : l: ' ;�: <br /> ....................._:t.............._.._....._I ...............__.....................:.,'...........................PiPc <br /> ....................................._..... ....... ScrviceCock <br /> ...................................._......__.._. Scr�icc Box <br /> No. Hours Lobor............_...._..........................Cost....._..................--.................._.... <br /> Cutin......._._........Pavemcnl..._............_X..............._....... ....................__Sq.Ft. <br /> .............._....X........................ .� <br /> ........................ <br /> ....._._...__...X........._............. .� <br /> ........................ <br /> ..._...............X......_..........._... �� <br /> .........._......_... <br /> Total ....._..............._Sy.Fl. <br /> _______'_____--- <br /> Remarks......................................_..............................._.__...... ............ __ <br /> ...................... ......................................................................... ............. <br /> ........... .......................................................................................................... <br /> Order ??ecciced.........................................___....................._ . .._............ . <br /> R%ork Completed............._........... ........_..............__ _..._.._........._...._...__. <br /> F oreman <br />