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� <br /> 5 1.Pric6e�M 7-af�995� �� � ' ' `i `� � V <br /> W.U.Form 3 • <br /> � -CITY OF EVERETT--Water Dept. <br /> Application P7o...�:�.: �.:�.1_f.. Date.........._....._._�. . �.. . _.......19..�.�..0 <br /> :.-. . <br /> Install.........::..::�`-'���--• �neh �vater se!vice pipe <br /> r, <br /> �� .` .., ... <br /> i�., .:..::._...:'.�..:...- s......................._... <br /> '�_....t.�.......�.:�:.!: !; , _ ,.,.. � <br /> For .......................... : <br /> ;� 4/ O � _ Ig..... Street <br /> n .._..................... .._�..- <br /> ..... .................. <br /> _:................................. <br /> Lot........................C.()..............--�--........... Block Na...... --......._................... <br />� Addition ........................................... <br /> ..................................................... <br /> , �_. <br /> Remarks .... '..:::...:.:.................. -----..........._.........................--•- <br /> ..._.......�....... , <br /> . ............... . <br /> ._-..................�.,..............................................._-------• <br /> ..... ...���.......................................................................... <br /> ........... .. <br /> ... <br /> . ' --�...................-- <br /> �..................................... ......................... % �� � �.� . <br /> �� � -� • ......-.-. �:....,;.....�....i.._'..............................:Su �rintcndent... <br /> ��___�;.��.\............._v ' � P'_" % .,:.- . <br /> ! \ <br /> �� % LABOR AND A7A'TERIAI; USED _ <br /> N°_. ��--Sizc _i _ ' ._—.__--- <br /> -_— <br /> " �...,._....._........._.:�, Lead Connec�ion Complete <br /> ............................. <br />� ...................................................... <br /> Saddle Complete <br /> .......................f t............................ .........................................................PiPe <br /> .............. <br /> ............................................. <br /> _.._..... Servicc Cock <br />� ............... Scrvicc Box <br /> ............... <br /> � ................................................................................................ <br /> ...........................�........................... <br /> ........_........_.._...I........................... ..._........................_...�......_.....:._................................_..-..............._.. <br /> No. IIours L.�bor.............._....._................... <br /> ....C o s 1.................................................... <br /> .............. <br /> .......... <br /> ........................Sq.Ft. <br />� Cut in..._........_.....Pavemon .........._........ ,� <br /> ....................X........................ ........................ <br /> ....................X........................ ........................ <br /> �� <br /> ....................�i........................ <br /> ........................ �, <br /> Total ........................59.Ft. <br /> --- ---_— <br /> ----- � � , . . ., . . ............................... <br /> - �- � � ...........:..... ....... <br /> ....� •r... ...... <br /> �� <br /> . Y <br /> P,emark�. .. ._p.....__. ,..�/............ <br /> I , _............ <br />� _...__.. <br /> ...................................................... <br /> . .............._...........__.......... .....................................;.. <br /> . .. <br /> ........ .. . <br /> ........... <br /> ��i � , <br /> . A � .. :��:. •. . .. ........... <br /> Order Beccn�ed.........................._..........._...:..:.:.;...... L <br /> ` •'' ;: <br /> ' ........... <br /> \Cork Completed�.`..... .. .....__:.......................... _......._...... <br /> Foreman <br />