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/"/� ♦•►R �r`'-�� <br /> w. o. ronM �Mi' Ef/� O �/ �/ -• <br /> CITY OF EVERETT--Water Dept. <br /> f� -� -J !.l.is..:'`—` <br /> Application No..�:.C(�.��� Da�e.../...... .......-.^...'........... <br /> Install... ...._�:'.�- •�ch wat�service pipe <br /> � �..... ' <br /> - c� —��� ��. . <br /> � .... <br /> For ................. ............. . <br /> ... <br /> ............� .....:......................"Street <br /> �.�/�.....:........�.-................ ........................... <br /> On ................... <br /> �1�� Bloc No..... ._........................... <br /> Lot........................1.....�.: �. . <br /> . -�...J....... ....�����"�:�.._�.... <br /> Addition .......... .. .r7�,�... --.•- ..-.... <br /> . .........._ ..�C. ..�f-��-C-••:•-_l..C.I....`i�/..... ....!...,rf.���:F�::' .:' i' J ., <br /> remarks ��. <br /> ..........................................................�--.......................................... <br /> . <br /> ........ <br /> ............................/`....�r� ............................................._..---..._.� � <br /> ' ... . .� <br /> ..... .... ......._ <br /> �� �..,.��.............._................... � .�•• r �� <br /> , � .._... .._._.........._. <br /> ��J �...._� <br /> • '............. •'_"'__................................SuPerintendent/% , _ <br /> ..... ....................... <br /> �-11 <br /> LABOR AND HATERIAI. USGD <br /> No. Size �-- <br /> ............................ <br /> ........................_ :.end Connection Complete <br /> .......................... Saddlc Compirte <br /> ....2....ft._....::..i.:.............. <br /> ....................... <br /> ' .................:............._.......................................Pipe <br /> .._........ <br /> ........�............';.'.:�............. ServiceCock <br /> ................ Service D'.x <br /> ........-.. No. Hours Labor..............................................Cost......................._........................... <br /> . ........................59.Ft. <br /> Culm....................Pavemcnl....................X......._............... ,� <br /> � . ,' .....X........................ ........................ <br /> , .............. <br /> �� � �J�u� . �.r�: . <br /> ........................ �� <br /> ; L ....................X........................ <br /> � X........................ ........................ �� <br /> ............... <br /> ....Total ........................54.Ft. <br /> -----— � <br /> � � � �.................................... <br /> Remarks......................L:: <br /> ..........:............:....:.................. <br /> ..................................:....:............................................ <br /> ........................................... <br /> ................................................................................... \ <br /> Order Fleceived........................._..................._......................... <br /> -............:..... <br /> \Vork Completed._L1.:::.:�..i.::...::..:t / ' . <br /> ......................... <br /> ..................._............._ . <br /> Foreman <br />