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I <br /> _ . 1�,63� _. <br /> �. �� ' <br /> w. o.�ronw � //// `� / <br /> �r-4, �,., <br /> CITY OF EVERETT--`�YJater �iept. <br /> ����� �� �/ f`� �rn� i !9fi2 <br /> �g�+eeHer+'No........_:......... .... Date..............:.........................._._....19...... <br /> ^/_ lnstall.......... .. . . nch water service pipe <br /> For ..+�..1'�T4::�:-C`-� r_ � . <br /> ....... <br /> ..... <br /> ::.... . .....:..... ... ..2.�:�7`'. <br /> / --••........................ <br /> On ........... .. Le:..:5...�.!�...la�:�..l.�[L,C��.:f..L.:IL�z. ......... Street <br /> Lot.................. ..........._�.........._.......--.... Block No......�..........._..._-- <br /> Adclition .............................................. ................................�--�-................... <br /> Remarks ......................................... <br /> .............._.......................................--��---�-• <br /> ..................................................................................................................�-•---.... <br /> ......... ............................................................................................................_... <br /> _...................._........._.................................................................-�----......_.._... <br /> ........................................ ..................................................................._----�•-•--� <br /> Superintendent <br /> LABOR AND MATF,RIAL UBED <br /> No. ' Sizc I <br /> — . _— --- <br /> --�����--�-�---�-�������..............—r�Lead Connection Cmnplete <br /> .....................................................� Saddle Complete <br /> ......................St..................__.._._I .__......._................................................. <br /> .......Pipe <br /> ......................_..............._......._.._ Scrvice Cock <br /> ...................................................... Servicc IIox <br /> A'o. Iiours L::bo:..............................................Cost............................. <br /> ...................... <br /> Cutin...................Favement....................X....................... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Fl. <br /> — - ------------- <br /> Remarks. .......................................................................... .. ............................ <br /> ................................. ....................................................................................... <br /> .........................................................................................................�---............. <br /> Order ?teceiced............................................................................................... I <br /> 1Vnrk CnmpiMed................................ <br /> ...................................................... ... <br /> Foreman <br />