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, • (' �Y!'�X_ ' <br /> W.D.Fnrm 7 IOOC l 1d0.24 <br /> CITY OF EVERETT-•-Water Dept. <br /> Application No.�_�. �! _�. �atc __. �... _� i9L....�2 <br /> f rr <br /> ,�,/ Install Y inch w�ter service pipe <br /> For.. ....._ .p. 1'V'�_ ��. / .� ._ _.. . ..__. <br />' Qn.. -3 __..o. 'I..-._ 2 lo /- _c� __. ...Street <br />� Loc_.... . ..... _ ( _.._ Block No . . �_�.I. �J. _.. <br />� Addition............_.._............ ........ <br /> __......_..._.......__....__.. ....._. <br /> Remarks........ _..........._._......___......................................... <br /> _ . _......................_..............._..._........ . __........................--............................_...... <br /> ____.........._........._ _.................. .. ................_...... ...._..____.....__......_....__...._....... <br />� <br /> ......._._.__ _ _........ ..........._. _....... ..__._ _.... ._._ _ _ _............. <br /> _�� .:�._ .�_ <br /> s�v.� r� �y,� 1 ��-7-v7 <br /> I ' I <br /> - -- __- :. <br /> - _ = '-=' - _ . -_ -� <br /> I ABOR AND tlA'1'LRIAI US['sD ° <br />' - --- ...-.- . . - --_ _ _ _ . _ ._.I�I -_. <br /> ..... .....I Size ' .,. <br /> .—____ _ . ._ . _. <br /> ..... . . .... —� ._ . _ . .t.l_. _ <br /> ...... ..!....... �.....2.._.:! S.Ct�� Leud Connectiun Complete ��' <br /> � ....�..- .���...�1..:!..�..._.._I Snddle Complete �:I <br /> ..._ft.; � . _. ..:�r.'.�1:�2:7............................_..Pipc ili <br /> i ........_:"�'.........� ......a��...._ . �, <br /> ............�... . �..... __........ . Service Cock I�i <br /> C�i'J 1 � . � <br /> ...........L............ �..........x...... .�. Service Box L <br /> II <br /> �. . . .............._....._..................................._.................._............... .............. <br /> .................._....... ....................... . <br /> ...........................�..._.... ............ .. .........._................_..........._......................._.........._.._......_....._I.....__..__ , <br /> ....... .... ...._................ ...... . <br /> — ._ : [ — �-, �r.——_.._._ <br /> No. Rou�s Labor...........�� ��.................Cost.....�`�:.. -:..........................___......... . <br /> .,.. <br /> Cutin....._..................Pa��ement...................X....................... ...._.........._.Sq. Ft. <br /> . <br /> ....................\........................ .. ................. ' <br /> ....................X........................ ,. <br /> .........___..... <br /> ....................X........_............. � „ <br /> ........._....._.. <br /> Totul ....................5�7. R[. <br /> ---_. � `-_- �- - --- - --- <br /> - � _� .- _ . . _ �/ �/ - - -- -..___ <br /> Remarl.s ;,.,:: ,. ., .!q� .�t.l �L.�m._ _..,,,:. . ._... ._ <br /> _ <br /> ____ _ e�'i`��i y..ctcl�:2r�_ <br /> _. ._ _.... _ _ . __ _.._ _ _ ......... _ . _ _._.. <br /> Ordcr Rcccived_ . __ � „ <br /> Work Completed _ �..�� ��.���i�E����� <br />