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a d. rnico: aJ � u �� � . � .' . <br />w. o. ronr+ % . <br />CI'T'Y OF EVERETT--Water Dept. <br />Application No.l..�.:.....:._......, Date ....::.:..:...:........__f..:.................19....... <br />� �.. <br />Install...;:.::�;f ...:::........_..inch water service pipe <br />; <br />ror , _ . , <br />........................................................ • .............................................. .. . . . <br />-• ,. . ... <br />On............:...._.--.........- � ./ _ �.......... Street <br />......................................... ...........�. <br />Lot........_.........,�.._-----....- ............... Block No.......:�..:i................_...... <br />:ldciition ............................................. ........................................ <br />Remarks ................ <br />� i ..._........._.... � ...............................................-- <br />....... f .......... ................. . <br />;%! . ,, � <br />„ . _- ,,, <br />.._.._ ............:.........:.............:................. ....._�:........................_..4. . .. <br />.................I ....1 ` _ .................. ..."" .. .......... <br />......... _..� ..................... ......'.'.,_.........:.. ...' <br />. .... .......... <br />� � _ <br />.. • <br />__._........ _1+:...:.Ci.,:..'i."' .......................................:.....:.:..:.......:.................:... <br />• � Superintendent <br />LABOR AND biATERIAL liSED <br />......................................................I Lead Connection Complete <br />...................................................... Saddlc Complcte <br />.. _........d.l_=.i...ft........-i�.. :(:::.........I ...:_ �..:_. ..::........................... _...... <br />� , <br />..................._��--...............:...:...... Scrvice Cock <br />._ ................................................... Servicc Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cut in..........._.._...Pavement ....................X........................ <br />................ _...... S q. 5 t. <br />. ��, . � ....................X...................._.. ......._............... �� <br />r.,. <br />I �� ' ....................X......................_ �� <br />........................ <br />....................X........................ �� <br />.......... . ............. <br />Total ........................SU. Ft. <br />P. e m a r ks .............. <br />� <br />=; j, : <br />Order Received .............................................................................................:. <br />, <br />�Vork Campleted....:...:.!..L..�..`.�...i ................._:.:.../..:.i....4..'::.......:........ <br />I'orcm�n <br />