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� <br /> W. Oe IOIIM ]��� ♦ � •�� J �. � � <br /> CITY OF EVERETT--Water Depr.. <br /> / , . <br /> Application No....��.4...i..�,... Date......_?.....-...�............................19..�.�;� <br /> Instali...............................inch water service pipe <br /> For ................�./....... .........�................ .......................................... <br /> .... /� <br /> On ....��?..�.l.:.Y.... �:/'.,�::J.:.�,::�*`X{.,C..................................... Street <br /> Lot.............. ............... ......................�....... Block No..................................... <br /> Ad�iition ........................................................................................................ <br /> Remerks ..................................................................................._..................... <br /> � ....................... ............................................................................................... <br /> ://9:......:.......��/.�.............................................................................................. <br /> - ................................................................................................... <br /> ' T:.................... <br /> � _-, <br /> _ .:............._:..�.,.�:................................................................................... ... <br /> Superintendem <br /> o�s� <br /> LA90R AND MATERIAL USED <br /> No. Size _ _ _ <br /> — - -- <br /> ...................................................... I.c,d Cunnectlan ComPlete <br /> ...................................................... Snddle �ompletc <br /> .......................ft............................ ........................................................................PIPc <br /> .................................................... Service Cock <br /> ...................................................... Service Box <br /> .......................... ........................... ................................................................................................................ <br /> -- Yo. Haure Labor..............................................Coat.................................................... <br /> CutIn....................Pavement...................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks............................................................................................................. <br /> ......................................................................................................................... <br /> ................................................................................................................_........... <br /> OrderReceh�ed............................................................................................... <br /> \Vork Campleted................................._._......................._......... ....._........ .. <br /> Foremen / <br />