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e:a. rnice[ a� � � � O _ <br /> w. o. ranw a J n J� <br /> CITY OF EVERETT--Water Dept. <br /> Application No�.:7.d=�P_ .... Date.........�e�t:.:y:.._t:................19:�.j <br /> Install....._�?, ./.,t!............ineh water service pipe <br /> , ' <br /> For ..��.�..,..%i_._:,,.�u�a..,�..�:a...,.�................__...................... <br /> ✓{%; / <br /> �Il ...........���....�..�:�F..�3r�LG..r_t.........u..:i�................................ $�LEC� <br /> Lol.....�_°:._�:�✓..z....�:.....::i...-......._... BIcKk No.........-----..................... <br /> Addition .......................................................................................................... <br /> Remarks ..... ../.J.C4�r.:s:.....dc�-.xz x.:.........................._..................... <br /> ........................._�f..............................:..............................................---............. <br /> ._-...........�:f.,.r..��:...�,......r..t..t.y�G�:a.a:(.:.......................................... <br /> P... . ;���'...............'.................................................-�----�--�- <br /> ....... <br /> n� .t... �:n�` ............................................. ...:,��::.t.�:�-f-.---- <br /> � �' 195y i 0 �� �� SuPerinte�ent <br /> J ���� <br /> GABOR AND MATERIAL U9ED <br /> No. Size <br /> ---- <br /> ...................................................... Lcad Connection Complete <br /> ...................................................... Sad�lle Complete <br /> ...._....___�..._f!._......................... ........:......_�._.._................................................Pipe <br /> ......................................_........_.... Service Cock <br /> ...................................................... gervice Boz <br /> Vo. ficurs Labor..............................................Cost.................................................... <br /> Cutin...... ...........Pavement....................X........................ ........................Sq.Ft. <br /> . �. .. ......_............X..__................_ �� <br /> , ......._............... <br /> ....................X........................ �� <br /> � . ........................ <br /> . . ....................X......................_ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> - ---- ---- <br /> �• - <br /> Remarks__............................�a...:'.t:.�...:...::....................................................... <br /> � <br /> ......................................................._...................................,._....................... <br /> OrderReceit�ed............................................................................................... <br /> \Vork Completed.:.t.:....'...i.:.................._............_. .....:...::.._....................._.. <br /> Foreman 1 <br />