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w. o. .o� <br />�/•�� // /// ` <br />-CITY OF EVERETT--Water Dept. <br />Application No.l.._:.._.!__�:...� Date._..........��.`..._1 .....................19.C. i <br />install .............. ............... .inch wnter service pipe <br />For......................................................................... <br />.. <br />� f ........................................ <br />...:. . <br />. -, � � � <br />On ......... ... ....... ...........�_,.�..,...:..:.....:......,...�.._`......:.................... Street <br />Lat.......................................... ............`..�. Block No.............--�--.......---........ <br />A.idition ....................................................................... <br />.............................. <br />Remarks ..............................._�::...�.....: i � <br />. ......................... �..:............................ <br />. ..................................... <br />� <br />.................. ... <br />................................... ...... <br />Superinlendent <br />LAROR AND MATERiAL USED <br />----No. - l--_—Size —r---- � <br />-----�------ . Lead Connection Complete <br />..........__......_ _.... <br />........_ ................I............._.._......_� Saddlc ComplMc <br />......._......._.....ft..........._ ............... .........._....._..._..........._......._._........_ ............Pipc <br />..__._ .............._............._.............. Servicc Cock <br />........................... _......................... Service IIox <br />...........................I........................_.I ......................... <br />_.._._ .............................._.........._ ._...................... <br />No. Hours L�bor ..............._......................_.....Cusf_......................... <br />......................... <br />Cutin_.__._.... _._C'avement_ ..................X........................ ........................Sq. Ft. <br />....................X........................ . �� <br />....................... <br />.........._........X........_._........._ �� <br />............. _.... _.. <br />... _ ........ ......X...._................... .� <br />................... ..... <br />Total .................. Sq. Fl. <br />_'----�-------`-= --- <br />_-.--_ <br />P.emarks ...... ... ............................ _............. <br />_........__......._ ........................._ <br />.......... ........................... <br />......................................................................................................................... <br />Order ]?eceiacd.. <br />_ ........ <br />�Vark. Camplctcd_ _ . _. <br />_ _ ........_._.......... <br />Foreman <br />