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L i ry�101 9M � ��� . .• ��� �. . . <br /> b: O: fQwM .l ' �' 1' " <br /> CITY OF EVERETT--Water Dept. <br /> _ , , <br /> :. , � � ; � , <br /> , , .,� <br /> Application No........:....'........ .Date.........................-�- ,�...............19...... <br /> Install.......'.y...............inch water service pipe <br /> � ; <br /> ,_. <br /> For ..............:....._:....._..............._.:..J,1...:.............,................................._..... <br /> On ..................._....:.�.�..:..:�.....r::i..,i:..._:..t..!_.............................. Street <br /> Loi....................................................._....... Block No................------............... <br /> Addition .......................................................................................................... <br /> F.emarks ...-�---..al..._............................................._......................................... <br /> .n .. , . _ , , • <br /> ..................-......(...A-.:.....................................:..........:�........................._........... <br /> i ! <br /> I <br /> /..:._..f'"_�_.!._....:.................................._..............�.................._.......... <br /> ................. <br /> _r./� . � . . . <br /> . <br /> ............1.._.........................................._:._...:......:..: . t........ <br /> . . <br /> .............................. <br /> � �� _�� -,�� , ; : <br /> t . ' , <br /> ._........._....... -. .,...�,;---r. .�....................:..................,....1..._._:�......,;.; � . <br /> . ''i <br /> _ __ , 'su¢crintej�ae/nt�' <br /> �C ' <br /> i.1►EOR AND MATERIAL II9ED � <br /> No. Size <br /> — __.—_— — <br /> ........................._........................_I Lead Connection Complete <br /> ............................................__...._ Saddle Complete <br /> .......................tt.........._................ ......_......_..............---...---......................_........Pipc <br /> ..................................................... Scrvice Cock <br /> ...................................................... Scrvice IIox <br /> No. Hours Labor..............................................Cost..........._....................................... <br /> Cutin....................PnvemenA..._..............X......._............._ ........................Sq.Ft. <br /> f ..s �� <br /> ............ ..... ........................ ........................ <br /> - . : . ;. . � . . . <br /> � ' �� <br /> i' � ,� .._....... .......X............::�....... �............,...,...... <br /> . . . ;. - . � . . .. <br /> � . . � 'C . � -..._. <br /> � / ....................}�............._� ' ........ ......_�_ n <br /> . ... <br /> � Totai ........................Sq.Ft. <br /> -----�- ._— — <br /> Remarlcs✓.'.:.�.f....::...................................._-- <br /> , ..............................._.............. <br /> _ _............ .. '.. . ...............::..........................................................-..._...--........ <br /> .._..................................................................................................................... <br /> OrdcrFeceis�d._......................................................................................� <br /> \l or}: Complcted.....:.... ..._..._.._......._.....:._ ......_._..........._...__. ...._....... <br /> Foreman <br />