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e. a!naicac�' 3 �59 . _ � ��,7 � I <br /> .. o, ronw S <br /> CITY OF EVERETT--Water Dept. <br /> - „ <br /> ; � .i �, oE� � ��,i <br /> Application No.._......._...._ _. Date.................._..................._... 19...... <br /> I�stall....................... . ._..inch water ser��ice pipe <br /> ; .. � <br /> F�r ._ �:�:z.z LC,-.1�:/.�_,.�.�l�t c�:.C4.:.z.J...........street <br /> On ........-lL::..,...5�.�..._.,.. .. --.. ..... _....................:�f........._. <br /> Lo;...j�!CJ�.��tc�':::w�.................. <br /> Block No........................___....... <br /> :lddition ........._............._........................................ ...................................... <br /> Rrmarks <br /> ... ................................... ....... ..................................................... <br /> _.._..._.. ......................._._......................_....................................................... <br /> Superinlendcnt <br /> LABOR AND MATERIAL U3ED <br /> No. 'j Size I �– <br /> ------- -----;- - -- — ----- ------- <br /> ................................................ ..I :..�u3 Connection Conip]ete <br /> ............................................. .... � haddl�� Complete <br /> ..._.._._...........fl................ _...._.I . ......... .................................._......................PiPc <br /> ._...............................__ ....._....... Scrvice Cock <br /> ._._........................_............,......... Srr���c Box <br /> .....................:..........................._. ..................._.......... ........................_......._................ <br /> .. .......................... <br /> ............ ...�............................... ...... ........................................................... .......................................... <br /> No. Hours Labor.__..........................._......_....Cost.................................................... <br /> Cut :n.................._FavemenL...................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> (�.................... ........................ ..._................... <br /> .� <br /> �/°'.GC-�: .-��. �–r���A ....................X........................ .� <br /> Total ............__..._...Sq.Ft. <br /> ----�------------------ <br /> ------- <br /> Re i n a rN s..................................................... <br /> __......................_..__.._......._. ... <br /> . <br /> �i ;�..`..51 __......�s:..��...._�'._........................_...........__._......_ <br /> ........ <br /> Order2iecciced..........................................._._._..................... . ._..._....... <br /> lb'ork Complcted.............................____..... .._.......................__._ ....... _ <br /> Forc ian <br />