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i <br /> � <br /> 5. J�YRIC'fE�= 1 I � � `- 1 -i .� . <br /> W. 1:. �OflM ] <br /> CITY OF EVERETT--Water Dept. ' <br /> ,C� , . ,,--;. <br /> Applicaiion No.�./...`r��� JJate...._�'��."......r.��- ._'........- ...19.:::'.��, <br /> � . . <br /> Instalf.....:..Y..................inch water service pipe <br /> For ..._...._.... .... .......... ................... .............._�....,-.. . <br /> � l r� Street <br /> 5 � , <br /> ..................... <br /> ... - --• <br /> On ............... ......�.�:.... ...__.... ..... .......... ....:,_ .._..................- <br /> ;.ot........................................._--............_.. Block No........_..�.'r..._�r�p:::......... <br /> Addition ............_.- --- , <br /> f—�=s...--�--............._... ....__.,,............._...................... <br /> r.emarks ........--._..._�"...}�,:�:_c..'..._:....:.......'..._.................................... <br /> . . <br /> ................................. .. .................................. <br /> �..........�t�l <br /> t�. ........_.._................_...._....--..... -- -............_........................._............. <br /> ,_ . <br /> , <br /> ._�/.....�............-.................._.._-----��-y�.c......:...,......,:•.---..: ..............--- <br /> .... <br /> �" / ,. . � <br /> ....__....._......_.................._.__.........._..c'�!..'.....��-.:......li...:._�:�.�..�..:�>.......... . <br /> ' i;/�. Superintendent � <br /> � <br /> - „---T.___�... <br /> —_. -' �,� —_— ' <br /> LABOR AND MATEBIAL USED <br /> No. j Sizc � _ <br /> .__.._.___--. <br /> ........................._.................._.......; Lezd Connection Complete <br /> . ..........................................._.......' �addle Completc <br /> �_._...._./.�.L'�_ft........:.....:............ _�...`.:.......:....�......._......._.._............................_.PiPe <br /> ..........._.._................_::_..�............ �crviccCodc <br /> ........................__......................... Scraice IIox <br /> ......................_. .................................._........_..---...._....................................................... � <br /> No. Hours L�bo:............._..........................._.Cost............................._..............._.... J <br /> G3tin. ............_...Pavcment...................X..............._....... .............._........Sq.Ft. <br /> � ,� <br /> �� . � , .................... ........................ ........................ �� <br /> ✓ � ;,:, <br /> . ....................h........................ ........................ <br /> ....................3:....................... ........................ ,� <br /> 'Polal ..__.................Sq.Ft. <br /> ----- - ------------ --- — - � <br /> P�e�naric.s......................................._.�:.a.:..'.....:.:...._..:..:.......- -..-.........._......... <br /> � � <br /> �-.,.:.a.....:.......:.: <br /> _...... --�.._,.. .........`---:.... <br /> prde• _'eccicc9....._._.......- -........._.....'...._..._......_,-_............_. .� <br /> `,i orl: Cnmplcicd... ._.......:.........._......................__.._........ ........:.:..:..._... .. <br /> Foreman <br />