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9. J: PHI[BC � � � O / � ' �' �y <br /> w o. fORF � • ��f�/'J <br /> CI"CY OF EVERETT--Water Dept' <br /> Application No.,../..��`.:i'.:. 7�r...._..._.,,.�c.:l::�r_�..J..........15�.% <br /> Install.....,`�i.. ...:......:�..inch water service pipe <br /> d � p �'...................................................... <br /> For ....../../../..t�a..c>Q....../.CI.t�� ..`.... <br /> On ,/S°../....-- „%:G...,.u.�'....�.—.................................. Street <br /> Lot..............................-----........._..-------...-- Block No..............................._--- <br /> Addition .....................................�--................................................................. <br /> Remarks ....�f rr•N.�f[cs�....�......................��----••-----.........---- <br /> ..................... .. D----.....:::�::��:::::::::::::::::::::::_:::::::::::::::::::::::::::::::::_::::�:: <br /> ........... <br /> .t.. <br /> �.... . •.^-19�� ...��.e� <br /> ............................................_.....--•--.••--.... <br /> ...............� <br /> 0 <br /> ................. . .,��+. .:s-.....---��---................�.�.�...�....r--�---_�_y...... <br /> ,� • Superinte�ent <br /> �C!� <br /> LASOR AND MATERIAL IISED <br /> No. Size _ r <br /> ..... .......................................... T.ead Connection ComPlete <br /> ..........._.............................. <br /> Saddle Complete <br /> [ ' � � , . <br /> . _..�.._1t.....'�::'..._........ ........G...L......:.................................................Pipe <br /> ....... ... ... , <br /> ...................i�............:.....:............. Serviee Cock <br /> � Service Box <br /> ......................J.............................. <br /> ...................................................... ........... <br /> ...._.. .............. <br /> ...................................................... C'...��.::..3r.:.6_:...1�.-O�-... .._.............._..._..... <br /> ............ <br /> ................. ....�.1._':Er..._`�'4a._��..rs_H..��.o........ ..._.............. <br /> No. Hours Labor..............................................Cost..........................._....................... <br /> C�tt in....................Pavement....................X........................ ........................Sq.Ft. <br /> .� <br /> ic• �. „ . , .. ....................X........................ ........................ .� <br /> +.� i <br /> ' ..X........................ <br /> �` . ...._........... .......»............... <br /> - �-�-1�' � �.'. 1t........................ ......................_ u <br /> 4 .-.�e� . .................... <br /> / "� ".>l -t'.`' <br /> / Total ........................Sq.Ft. <br /> Remarks...... ....................�......:. ....::.:.:.................................................... <br /> :� <br /> �........:..:.....:..::..........:..:...............................---••-- <br /> ........................................... <br /> .�._�.�::.:.�:..:..:.....................................................--.. <br /> OrderReceived............................................................................................... <br /> � . . ; <br /> �Vork Completed.:-..:....�-..:.....�...1...........::::..:..�.::...:..,.:.:.._.......................... <br /> , , . � , Foreman <br />