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\ <br /> 1 <br /> �t_ <br /> �.. <br /> / ' <br /> �_,' - �-7U 7� '� <br /> w. o.:a.� ,— /f 9.�9 �; � <br /> r.�-.��C. <br /> CITY OF EVERETT--Water Dept. <br /> Application No.../C_�-'7.... Ilate..........::�.:./...�.4':...............19-.--- <br /> ... <br /> 7nstall...............................inch watet service pipe <br /> For ................................................................................................................�-•- <br /> On ..............:'S7c..�......�..Z:.t.:t.,1:'��e.,.c....l%�1.3--....-----..... Street <br /> Lat....................................................._....... Block No........_..........---...--•-�--.... <br /> Addition ......................................................................................................... <br /> Remarks ,.�!�1w':'.................. <br /> ........_;....................... ................__............----...................................----......---_- <br /> .....��s.<r.cb::....L��......._.r�'_.-.,'rQ.f'.'1...........................`-.......................------ <br /> ................. ..............................�---..............................................._.................._ <br /> ..........................................--.....................-------..........1Ci!�`.t.�f.-��-u�-�--- <br /> S/uperinter.dent <br /> ___ ___ �J[��k� <br /> LABOA, A:ND MATERIAL USED <br /> P7o. Size � <br /> .. . .._................................._..... :.es,d Connection ComPlete <br /> .....................................................' Sa�dle Complete <br /> .......................ft............................ .......................................................................Pipe <br /> . ..................................................... Seraice Cock <br /> ......................................................I SC'fVICC BOX <br /> .....................................................I ................................................................................................................ <br /> No. Houra Labor..............................................Cnst.................................................... <br /> Cutin...................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ „�.:� . <br /> ....................X........................ �� <br /> ' ........................ <br /> Total ........................Sq.Ft. <br /> --- <br /> Remarks............................................................................................................. <br /> ................... .................................................................................................... <br /> � .................................................................................................................__......... <br /> UrderReceived.............................................................................................. I <br /> lVorkCampleted........................................................................................... <br /> Foreman <br />