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a ,. a,�o;,� ,? � � '4' - - '; "I <br /> w. U. �ONM J ' !% / <br /> CITY OF EVER�TT--Water. Dzpt. <br /> ..`r . ,. � �/ <br /> � . <br /> ApplicatinnNo.....�.:..�.�..... -Datf....':.-•.._...:..:..'_.--==�='--:c......19._--- <br /> �� > Install......:':��(.. !_........incli water service pipe <br /> . � <br /> � < , , ! (l%'c, �. <br /> For .....................:......_r,'....::...:........:,...._. :.....:..::..:......::_.............--�----• •- <br /> ... <br /> ""' /-_i)_.'i'. -- !,-" .,:_. . <br /> i- <br /> rr-.., � <br /> n .................... . ' _. ...................----.......... treet <br /> ...............:......_..................---• � <br /> r ,:� , - . <br /> Lot................�::.:...._ - . . Blo k No....._..J....-_.........-�-----• <br /> .. <br /> _`7"--�-�---........._ <br /> AdQition - `- ' <br /> ............�...j._.:...:!..�.:..�:.._.................:!.�.........""""'................... <br /> .Tiemarks ....................�..........----.......................'..'......---.....,....................---- <br /> � , , <br /> .......... ...........................:....::....'.._::�:::--.-..-..::.�.:..:..:.:....::--.:.........?.._........._... , <br /> ................... ...:................................................................................................... <br /> .._.:.......... ._ ..............................-�---......................:........_;'....... ..-._;'``_-.---,/,, J <br /> ................ .......................... ' .-.........................f---�---..�..:..... � <br /> � � f ��r�i Superintendent � , <br /> � I J <br /> � LtVSOR AND MATERiAL IISED <br /> _ No. Size �----- <br /> ........................ ...........................I :.ead Connection Complile <br /> ......................................................� Saddle Complete <br /> � . <br /> `��..ft.. "' �.�:4r:::'l..'_:_..................._.._.......................Pipe <br /> ............:..�......... ..... <br /> .......__......._. .. . <br /> ...��'�:::............. Scrvice�Cock <br /> ......................J...... . <br /> .............................._%�...._...,......... Service IIox � <br /> No. Hours Labor..............................................Cost................................................... <br /> Cu1in....................Pavement....................}i......._............... ........................Sq.Ft. <br /> ....................X..........._........... �� <br /> ........................ <br /> 4" 1� <br /> .....................�........................ ........................ <br /> ....................X....................... �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ------------- <br /> Re�n a rks..................................... ............................................. ............�... <br /> .......................................................................................................................\. <br /> OrderPeceived................................................................... .....................�'t <br /> \Vork Com leted.....:.:::..s...:.:.:.. f , .. <br /> p .........................._.........._ ......:........... ... <br /> Foreman <br />