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s �: r���b.,e.t,�e� :58�/ � . <br />w. o. Fa� 3 <br />CITY OF EVERETT--W ater ept. <br />, ; ^,,. <br />_ � .- � � � � �,..- . � <br />� ,, ,, ,. <br />p,pplication No..�`� �-..._........ Date..._ :.t ..:..:.......... ......................1 .r..., <br />lnstall ..................f;;__........inch water service pipe <br />. ... <br />For............................................................................................................. <br />_ ...._ .................... Street <br />;� ; ,r` /^ Y <br />OT1...................�..:_':.......... /`.'�.,-_�...._..-�.--"-'-•-' <br />�� Block No... .........-----...._.. <br />« ........... c . . ...... . <br />_ .... <br />�,.... , . �. , <br />....-- <br />Lo� .............................._ _ ..::!� '' <br />i _ . � —.... <br />,�� . .� ,- , ,._._ ✓ . .__ ......... ...... <br />_ .............. ...... <br />Additia� .... ...............:... <br />....................... m.. <br />Remart:s <br />� <br />...................................— _— -, <br />................. ;. •i <br />, <br />,. ;' ,..,.,. <br />% ....:.:._'...._.:......_.._--••- <br />� "���'���� ������ Superintendent <br />........................................................ ��. <br />: i''- <br />- LABOft AND MATERIAL�$SED <br />LYV. — <br />I <br />_ Lead Connection Comple e <br />...................................................i Sadd o�Plete <br />..........................._........3.._.,....I �:.. <br />�. +.: � ::.:................... .................... p <br />.... <br />1 R ft....3..... ...... e <br />................... �,(,�._.... <br />.. .. . ..�� <br />� �, eivue Cock a� X <br />.........�.. � �...I �'`Ke Box / <br />.. . . " /� ( 1{ ( �l n � . ( / -' 1 ( �� �� <br />........ 3 � c'7C-a t w.�...-..� _r.../ �� <br />.. .....�... ' .... <br />... _. �(r � . . �'( c i <br />.ea �...._I......� ... . ..�........_......_..... �...__. <br />..._.� ............. 3 p ,� - . ..._...................._ . <br />-, � a� i 'L C'E'`- ....1.= ......... <br />. . �r ........... ................................. <br />......^ ...:......................... ............................ <br />: ��.X.;e..._..._. ...' :_.......... ��.:,.,:�'��': :r <br />'1 ..................... . ., � <br />........................................... <br />::......T....... ..,,r �' 3 ` <br />I�o. FTours Labor ........................................4'...Cost.......:.....�......................._S4.Ft. <br />................. ....... <br />Cut in............_..._Pavement ....................X......................_ « <br />........................ <br />.................... ........................ �� <br />�.t � ,� � � y, ....................X........................ ........................ <br />- ..... .... ..................__ <br />,.�;,,�.{;,� I�� ....................X......_.... <br />i Total ........................Sq. Ft. <br />-__— - <br />Remsr........................................................................................... <br />_... <br />................................................................ <br />....... ........................ _................................................................ ...---.............. <br />Order Received ............ .............................................................. .`_. <br />........... <br />�'� orlc Completed ............................_...........................................Forer..�n... <br />