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�l3as''9` _ - .'_ <br />B. .�. PPI[B[ i � Q. <br />W. O. fORN ] � � `� ' <br />CITY OF EVERETT--Water Dept./ <br />� .. _: i. i;' , , - (' i <br />Application No.�.s� :�.'_�..... Date.---- ::.....:...::..:!....::,.:............19....._ <br />'�i� ' . <br />� , Install ... :..... .. ................ .incH water service P�Pe �/ <br />� r . �-J � 1 .7�, �• 'r. . , � .,,.0 <br />For.�__ p;,�,��(p,•r.'::...::._..�..C`..�f..'~.%�.:::..:5..::J..::::..c:�.:.::.::::.'..::(.:. �' ' .. <br />.....Y .... . ........... ... ` ....' <br />On ... ��-� ri.C?,--.._�/i..r.._ :: r.:::_ c..r`� ........................�--.................. Street <br />r.�r _ — - - ---- --�--� .................. Block No..................................... <br />Addition <br />Remarks <br />� <br />� o �� _ /�' „',� :: <br />, �_ <br />, rr., .; .. ..:........ C._�..c....... <br />. <br />'' r a60 ', . <br />....... ...... ........ <br />�;� • .................... ... .........c�......._...... <br />, .�-c� l___-f �,�..f.�. -�a' <br />LABOR AND MATEBIAL P9SD <br />:.ead Connection Complete <br />Saddle Complete <br />................ P i p e <br />........ ..................I..........................I Scrvice Cock <br />..__-.__-'--_..... Service Box <br />No. Hours Labor ..............................................Cost.........................._....................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ „ <br />� ..X ........................ �� <br />.................. ........................ <br />...................X........................ ........................ �� <br />Total ........................Sq. Ft. <br />. ............................................................................................................................ <br />OrderReceived .........................................................................................�-�--- <br />\Vork Completed ............................................................................................ <br />Foreman <br />