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S.J.?ri•b.�MT.16�� '�� ' �� '7 �Jl <br /> W.U.Porm) t -� <br /> CITY OF EVERETT--Water Dept. <br /> i� a <br /> Application No./..�..�...Yi.�..... Date........................41... ..c�_�----19.� <br /> Install........_�.'��........inch wa er service pipe <br /> �/�� 9,9� <br /> For .............. ..:..��::J.........../.k�Y� . ..rr✓.................................---... <br /> y�-� . � ....... <br /> On .....--•--......7 U-..�.7..... ... ........ ...................................•--..... Street <br /> Lot................_........ ...----...�.---... Block No.----......._...--------............. <br /> .................---- <br /> Addition ...............�..../.......................--...I.� ..........._----.....------- <br /> Remarks X..�.:��-'' �'�"e,'.�../--����-u--................. <br /> ............ ..... <br /> .....--�--.........__�:.......................�`,.......�..................................................-�----... <br /> .................:.n.,.:c,...�.1..........1--�-"_p�1........"-..................................""'............. <br /> ,� �. • � f <br /> :., <br /> .........^; ,:....� .._.. ........,_�:.............................._.--�-�-•-- • f�- <br /> �� �� . .� <br /> ................... ... _`�:�.. .:�..:.......................................---._..,..----�-----.�...-�--`_ <br /> Superin de t <br /> �� ABOR AND MATERIAI. D3ED <br /> No. � Size <br /> .................... ........................... Lead Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................ft............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X....................... .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ----- --- -- <br /> i • <br /> Remarks..,......./G.... .��".,.�,..._.........--..........................----------• <br /> / <br /> ........................................................................................................................... <br /> ....................................................................................:....................................�---- <br /> Order Received...._...............................-................ ... � <br /> , _�';T ....---f.. <br /> G � _...-----.. <br /> t L _ � � � <br /> i3'orY Completed..J.�v�)J.�.. .................................1..' yf..:..............----..... <br /> Foreman <br /> , s_ _, <br />