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6 J. PRI[![� � � � � � J GJ � / <br />W. D. �OPM <br />7 �� <br />CITY OF EVERETT--Water Dept. <br />Application No ./.r„ .rr.'�,�.,. Date.......� .! <br />/ � ........1s.:�� <br />� . :. :........... . . .. <br />Install......._:� ............inch water service pipe <br />�� � <br />For ......._:.:�_C�..r�.r :....... ..:r1.:�..rG.l'.. �.e:. � <br />, , . <br />' -'----....._. <br />� � , <br />. ............................... <br />�I] ...........�4!:�%....._�r �.r..��.,��,�..c;�... Street <br />. "' _ ........................... <br />Lot..�s��o,�t�.� ............................... Block Na.................................--- <br />Addition ................................... <br />.......-•----- �-�- - - - - _ _ _ _ <br />Remarks ..._.::%.::r::.5-......��..:...:e:.x .::....................:.............................. <br />LABOR AND MATERIAL IISED <br />Lead Connection Complete <br />Saddle Complete <br />_�-�,��;. x:: ................................................. Pipe <br />Service Cock <br />Service Box <br />No. Aours Labor ..........................._.................Cost............ <br />Cut in ....................Pavement....................X....................... <br />A � <br />.. . � r . . 1, r!� <br />........................Sq. Ft. <br />� <br />. ...... <br />Total ........................Sq. Ft. <br />— - . _;% <br />Remarks........ ...................� _.�c.�....:., c_::�......__.....................---�-----....... <br />.. ..................................... <br />....._;:.... :.:c-=�---- --'- - _ , __ _ <br />Order <br />�Vork <br />Foreman <br />