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r -- <br />W. D. IOqM 8 M,3�08 • • 11 � ti (d <br />CITY OF EVERETT--�X�ater Dept. <br />� e t�: � � <br />v��.,u /�"�,,,,� <br />Application No ........:........::...... Date..........1�..){Gt!/[�..�............1 ..... <br />_, <br />Iastall ..........................�;,1.inch water service pipe <br />,-.�. . ,-; : . <br />For ....` :.::.:::.::.:�:............. <br />.. ............... ........................................ . . . . <br />.. .. . ...... <br />nn .....�:-�'.�—_�.�:..� . ....... .. .. . ..... .... .---..................... Street <br />�ot ...................................................... .... Block No....----�•-•---......----............ <br />Adilition ........... <br />P.amarks <br />Superintenc:ent <br />LABOR AND MATERIAL �SED <br />No. ' 5ize ( � <br />--- � - - -�� - <br />...........................I........................... L:ad Connectian Complete <br />............................_........................i Saddle Complete <br />.................. ....................................................Pipe <br />Service Cr.ck <br />Seivice Boz <br />... ............_......................-------------.. .. <br />No. Hours Labor ............................'.................Cost.................................................... <br />Cutin ....................Pavement....................X..._................... .._....................Sq. Ff. <br />Y u <br />....................X........................ �� <br />...... .................. <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />— ------ ------- <br />Re�narks ......................................... ................................................................... <br />Order Aeceived .................. <br />\Vork Completed.........._ ............................_............................_.........._.... <br />Foreman <br />