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S.1.PrieFe{M7./� � � � llU O L�. � �� .— (i '-i <br />0.'. D. Form ) <br />CI�[�Y OF EVERET'T--Water Dept. <br />, , ,._..:_:....�:.......ts...': <br />Application No ........:....::...:.... Date.........._,..._.. <br />.... <br />Install .........::..,..................ir, h water service pipe <br />....._ ............._...................... .......... <br />For ............................................................ <br />.. <br />- � ........................ Street <br />, � <br />�' � — <br />On...............l._v---t...._<..............:..................:......... <br />Lot............................................................. Block No............_....................-•-- <br />Addition .. .. . ... .-- <br />.. ......................... <br />Remarks , ,' ...._' ...:..:.......:...i................................................ <br />............... . <br />......:...... <br />.................. <br />, ' ,....---� ............._ --- <br />..l.i ....:....._::...... � .......................................... . .. <br />....._....'..,... _,.._:....._.,._......._' ...:...:.:...�.- <br />............... <br />..............!.......................... guPerintendent �. <br />, , ! � <br />I.ABOR ANP MATERIAL USED <br />No. <br />�' L,cad Connection Complete <br />.,.___.__I c1�{�le Complele <br />„ i' r'_ J'. 1' : ' ,.._ ........................Pipc <br />. _ ......... <br />........._. _........._.... <br />�i ". Sarvicc Cock � <br />,.......... Sc:v^c Bo . r( ._' <br />4 S.._.. .... <br />l..�'L... _.I . �.. _.._� �~..�.�G�Y.......�f J... �.n_.t._..._,._.. _....._� ......................._...... <br />b�I , .........._........_.......__............ <br />..........�__.._.�__ , <br />No. Hours Labor ............._..............._ . q...Cost.'.�����.7�....._......_........._....... <br />Cut in.. ._...._....PavemcnL.._........._.._X ............._......... <br />........................54. Ft. <br />.. ....................X........................ ........................ �� <br />, „ .: �- . � _ ._. ...........x ........................ ..........._........_. ., <br />U <br />% � , ` � � . `/, ....................Y._......_.........._.. .........._........._. <br />Total ................. ......59. Ft. <br />----- <br />—_ �--- ------ <br />Rcrosrks____ ............._....._._................................_.............................--. <br />_...___ ..___.._...._ .. .......................:............... . <br />_. _......_ _ ............._.._......... _...................._..._........................_............................ <br />Order Bcceive9._ _ ................................._..................t...................._...-.._ <br />� %iJ . .. c 's:.n:..':..'......., <br />�l'orF: Cr,mplcted....._.r-3�...�{...�._%..7_._.__ .................... Foreman <br />