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��'�� � I/?.S 7 <br />v <br />�. ron.. � � <br />-. � <br />CITY OF EVERETT--Water. Dept. <br />) � r / <br />Application No✓ �f.,�._`�� Date._.....D:...:..� ...........................19_!�:� <br />-, Iastall .........J`:...................inch water service pipe <br />For ......-�/.�CL.:z�:c.L-1::........ .1.0 � %•:� = ......_.. <br />.. <br />.. ... ,.. <br />�` - <br />. .. . ...... . . ........ . <br />On.._......._ .li.-:..�!../............� ���t.:�n,r. .�...x.: _ .................. Street <br />Lot........_ .................................................... Black N�.......................-•-----�- <br />.4ddition .._ ............................................. <br />......................................................... <br />Remarks...................................-•---............ <br />....... . . . . . . <br />. ........ .. . ........ ....... ............ <br />......................................l.:t:�.�....����. -��.�:--.................................. <br />_ ... . ... .__ ......................._...... ............................................-�---� -----�--- <br />Superintendent <br />LABOR AND MATERIAL ;QSED <br />No. � 5ize I <br />Lead Connection Complete <br />Snddle Complete <br />................................................. . Service Cock <br />.........__.........._ ........................... 5�:��vicc Hox <br />......................... .............. ............ . ........................... ......... ......... <br />No. Fiours Labor_ ................._....__.................Cost..................... <br />.............................. <br />Cutiu ................._.Pavement...................X...................._.. ......._.._._........Sq.Ft. <br />....................X........................ �� <br />......._ . ............. <br />................._.:{........_.............. �� <br />........................ <br />....................X........................ .� <br />........................ <br />Total ........................Sq. Ft. <br />----� ------_- <br />Remarks......._..........._ .................._.................................. _ <br />................... ....... <br />_ _.........__._ ................_................... <br />......................................................... _........ ... ........... _............................. _ <br />OrderRecei•.�_d._........._ ........................................................................_...... � <br />�Vork Cnmpir.ted._ ..................................._...... .............................. <br />.... . . <br />Foreman <br />