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5!.FrieLe1M7:619d55�/ �8•. � � �� <br />W. U FormJ' •' - <br />CITY OF EVERETT--Water Dept. <br />Application No./..........._......... Date .........................---.........---....19..._- <br />lnstall ......... . ...._....._...._;nch water service pipe <br />r....... <br />._ .. . .. . ........................... Street <br />BlocE: ?•o ..................................... <br />....................... _ <br />5uperintendent <br />LABOR AND 11fATERiAL USED <br />Size <br />.....�I --- <br />......._.._ I L�,.+d Connection Comple:e <br />...,..........:. Saddlc Cnmpiete <br />,f " ......__x_...�_..�:..f,:i_.` .................................PiPe <br />�...,..... ... <br />..._.:,........ Scrvicc Coc�C �� <br />.:......... s�r�s�� s,�x , , <br />�' " ' -� a 'a:�:1.... f E. ` �,� +. � � � , <br />............. .._ .. ... ... .. . ..... ....... ........ .. ..................: ............ _................... <br />..._:."..__ ..:..�......:.:{_i:s/.::� ................._.......................................................... <br />No. Hours LaUor_ .......................................G..Cost.�..�:..:.Q�..._............................. <br />Cutin ....................Pavemenl....................X........................ ........................Sq. Ft. <br />, ....................X........................ ......._.._........... <br />�� <br />, <br />. ., , <br />�- � ....................X........................ ........................ �� <br />�; , �� <br />� i ; : - ....................X........................ ........_............_ �� <br />� Tolal <br />�i ........................Sq. Ft. <br />— ---- <br />R�IT8TIC5.......... _....__.."""_.......'_"" ................."""...........................................__.._. <br />Order Received ........................ <br />CJark Campleted .................... <br />� .� Foreman � <br />