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S 1.PneFNM'�:�SJ •/� 6 \/J v <br /> W.D.}orml � �`I ✓ <br /> C; :Y OF EVERETT--Water Dept. <br /> Application No..:.....:....:......... Date.__.......::......'.....:......_..........19...... <br /> Inslall......_,u�.:::._._.....inch �:ater service pipe <br /> Fo� ........................ .... <br /> e <br /> _ ......_....................................:............................... .... <br /> ,"'. . , , ` j . _.�. ,. � ......i......�_.......r.::::...... Street <br /> On . ;-:,_..........:.....:...............:.........:.......... . <br /> Lot...._77c�_`J_ `>..J4d,.S7�,.S:.�: Block No.................................... <br /> Addition ................................................................ <br /> ......_........._-... _..__ <br /> Remarks . . . ..:.....:....._.....:...:........................................ <br /> ........:............................... <br /> �'�GoP...-.- ._...._......_....................._...._......................._................................. <br /> ......... <br /> 8-�9-LG ..i............................................................:.. <br /> ......................................... , <br /> -`�� .�.....:...:....;/ :. <br /> .....,... , ...........................................:........................... <br /> � ra;�)'p;,s'��" . Superintendent <br /> �.{4r,i'�,ti A=, ! � � . _ <br /> � ��(� n�� LAQUR AND MATERiAL USF.D _ <br /> � <br /> No. „ � izc i ----_. <br /> ___'--t-�----�-�--_ <br /> . ._.M...'.1_:...:�...................I I_cad Conneclion CumPlele <br /> __.._...... <br /> .......................... .................._.......� Saddle Cemplete <br /> . .. � � � _ .._......._..........Pipe <br /> � �/ ft.. '1 � ' .._�:_....::._....:...:........... _ <br /> .........�..... ..... <br /> ........................ ..... <br /> .__..........._..........._......_....._...... Servicc'Codc <br /> ....._..................__......................... Scrvicc BoX <br /> No. Hours l,abor. .. ... Cost........................._......................... <br /> � _......._._...................... .... <br /> Cutin......_....__...Pavement...._.............X..._.................. ........................Sq.Ft. <br /> ...................X........................ ........................ �. <br /> ....................X........................ ........................ <br /> .� <br /> .............. <br /> .X........................ ........................ �� <br /> Total ...................._..Sq.Ft. <br /> ----"_�-- --- -----_. <br /> Remarks........._............................................_.................._......................._..._.. <br /> __........ .._......_...,.�......................,.....;...,T......................................... <br /> '. , ' ..�:.: <br /> .............k::.........:::............. .............................................. <br /> OrderReccived...................._...........--..................,.._., -...._.........._,....-- %� <br /> .__ � . <br /> \'vork Completed...................._..........._...................._............:...Foe..:..:.:.... / <br /> eman ( � <br />