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os�- ' <br />s. .. rmr.no'a� 3 � <br />w. o. ronw o <br />CITY OF EVERETT--Water ept. , <br />.; ; <br />, � , <br />;.,, _ <br />...... <br />ppplication No.:...._ ...:....... ...... Date.................:...:....:..:................ <br />Install...:..;�. ��.....-.........inch water serv�ce piF' <br />� . <br />�-.. �., :-:: ; - / I' ,� � � � .. ......:........................ <br />: . ... ......:... �. <br />FoC.....:...:..:.......:..............'.:..,........................ <br />-- i � : i ' ........:.... ....... Street <br />. ..... .................... <br />'.....� . ............... <br />On .. ......�..: .. :.....:.... <br />i <br />Lot............................ :'... ......................... Block No..................................... <br />:,y , , ....._� :....:...................... <br />� ...:.............` .......'.:..:. <br />Addition ........k�... .t. z:.......... <br />� <br />"•;) r , <br />� Remarks .� .......:................................................................................................ <br />.;> <br />..,:....:�:.:..;.::.:..._... ,c� ......................................................................._... <br />{ � , .__ .T:ro. <br />._,., a. . �� ,. <br />.........:..:.. y.; �... - <br />. ......................................................................... <br />.�. --....... <br />........ ........................... J : I <br />. .. .... ........, � , . ,. <br />, . . . .:. ......... <br />' ' � . ...:::..... � ...................... .. ........1 . <br />. ' � /:�.' ...............1.:,:......: SdFermtendent <br />LABOR AND MATERIAL USED <br />--- _' <br />........................... .................. <br />,.,._...I :.ead Connection Complelc <br />___...,......., Sadd:� Completc <br />•r <br />...............I ScrviceCock <br />Service Box <br />� <br />� <br />... <br />.._ _ <br />No. Hours i r ........................................ <br />........................Sq. Ft. <br />Cut in ....................Pavemcnt....................X........................ �� <br />. ........... <br />....... _ ............... <br />, . . .................... �� <br />" �' � _X_ ..................... ....................... <br />� . . .................. �� <br />,.,// .,. ;..,, ,., � <br />........................ <br />� : , - ....................?. .......__........... <br />..' � 5 ' ��: ' Total ............._.........Sq.Ft. <br />Remarks. <br />� 1 ' ' __ ::..............:..._.:......:..._.................. <br />... .................._..- - <br />'� a ..::.::..........................................................._ � <br />...............................................:........ . ; <br />OrderReccived ........................._......................._,............................._........ ' <br />\Cork Comp <br />leted .........:......._.._._.._......__....::..:'....: �. ..,_..Foreman <br />