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o�� <br />9 J. PRICBC 9�� \ j . <br />W O f[IFM'J ♦� Gter Dept� <br />CITY OF EVERETT-- <br />, <br />��' �' ' ... „Date .........................................---...19...... <br />p,pplication No .:...:.......����- - ' <br />' - ��/ <br />._.. _.......inch water service plpe <br />� Install.......-...a... - <br />, �: � � . :. � .......... <br />�� , . � ; <br />._ '-- <br />; ,. . ' ! �:-- • ..:............................................ <br />For........:.....�...................�............. _ <br />i-- � ...........�/.�%....... ---� J-,'- ..�L-::." .............................. Street <br />On........:.............. <br />.� �/ Block No....__-.•-......,.. _,... _...., <br />.. . � <br />_.. , , <br />Lot ..........:.: .. � : ......-- <br />� r ,. ......:.............._ <br />Addi!ion .. � 1 :, j.... <br />........................ • <br />Remarks ,.�-�• ��; �� .......................................... <br />• �_ , <br />l ,., :. � , .,.,-,......�:......:� .:..................................................................... <br />,, <br />. ....:..1.;�_ � . .. ..................... <br />... ..............:. � . , .......... <br />.. ._�_ . �. - i � ....................... <br />� . ,...ti......."' <br />�/ _ ......................""'1 , , <br />� <br />..._....../ �-. <br />LABOR AND MATERIAL USED <br />9 <br />�� - lete <br />.............. <br />.. <br />...._... :.ead Connectiun Comp <br />............. ............. n` <br />..._..... Saddle Comple e <br />. Pipe <br />'� l . .L"�-jt.4.::.._ .............................................. <br />„ . ......� . <br />,t.,....ft....._aF ..::........... Sec'Sice Cock <br />'y ;i. <br />........ ..... <br />............ ............. <br />._........... Service ex ........ <br />............................... <br />....._... ........._ . . <br />Sq. Ft. <br />.......... <br />........................ <br />No. Hours Labor._ ...........................................Cost..................... .............. �� <br />;. ......._ ............... <br />........................ <br />C�it in ....................Pavement....................X.......................- ,� <br />. .. .. .................... <br />o�- ;.: h ' ` ............... ........ <br />..',�L! -",:/ ..........._.......X ........................ ' �� <br />. � ..�:"""�_ <br />.. <br />....................x........................ ....sn. � c. <br />Total _ ................. . <br />�.::....1 .................. _.................... <br />� <br />..._ .................__ �.1 . . <br />� _ � c:.r.-:..... � ......:....................................... <br />.................. ............M-." . <br />.......... - . <br />- ` %. <br />Order Recerved .............................................................../.'t��,,_.,.�,......_. <br />� '7 / - G f ..............:_./ r'. <br />leted.?..:. _._..,� ............. :........- Fnmman ` <br />\Vork ComF 1 <br />l <br />