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SNJ.Piob�lM7A67�55/ /3 !� ' . - � <br /> r � L� aia J <br /> CITY OF EVERETT--Water Dept. <br /> Application No.��.l.�Q...... D te ... ................�--:f..�U...19� <br /> (�� � �In�st�all....... . ........inch water service pipe <br /> For ..............`.�1l.eY.4:4�¢/....... .. ....... ............................_ <br /> . `�(�,( ........---- <br /> On _..........t�7"..'.`�'7':�:...... .................... .�--.....-�------.:................... $treet <br /> Lot....---'�-� 'y � - <br /> _.................................•--....... Block No..-----..__............ ........... <br /> Addition ......................................... ...........---.,,....................-�-------............ <br /> ' Remarks .....�C,s,.t1..".. <br /> .................................�. <br /> � .................................................��----....................---...._....... <br /> ................:...:..:�.... ........g �---......-------..........---..................... ...... <br /> ... <br /> � ... ............. <br /> ........:. :.....�.�� ..;....... ..................... .................---�--- r ,. <br /> .. . .......... .,.� <br /> { .::Pt� . U...... .,•-.;-.... . ... �..Q..1.......---.._...-----•----.../�1.�_�R-�-,1e� <br /> -� � �� � Superintende,yt� <br /> `\ , �I � <br /> ���_.-� � LABOR AND MATERIAL IISED <br /> __ No. I Size �i � � <br /> ' — — <br /> ......................................................I Lcad Connection Complete <br /> ......................................................� Saddle Complete <br /> .......................ft............._.............. ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Hours L�bor..............................................Cost..........................._...............---..... <br /> Cntin....................Pavernent....................X........................ ........................Sq.Ft. <br /> �� ,� `�l�,, ...................X........................ .. <br /> ........................ <br /> ...................X......_................. ........................ .. <br /> �� .7 7 _ � �}- ....................X........................ „ <br /> ........................ <br /> � , Total ........................Sq.Ft. <br /> --- /---� �: � - +----- <br /> � , r : � <br /> RC'hi3CICS... ....f.p...._':f.�y(..:!::�:.;e:�� �'�"L..... <br /> Il f/ <br /> . � _ .s..................................................... <br /> .......................................................................'""......."'...................................'"' <br /> � �. <br /> ...................... ............................................................ ...... . <br /> � ... <br /> Order Receiaed..................._....................................._'�_�.. ' <br /> ...................... <br /> �..�:�....../ <br /> • �dork Completed..y..:.r:.� " �;` :'<f <br /> M, <br /> , ......................................................... ............... <br /> . ' � Foreman <br />