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_.._.�,_.�„-.-__.__r_.----__ <br /> e. A.�PNi[B[ iM/�� � �� .� /�// �(' <br /> W. O.�IORM � � <br /> CITY OF EVERETT--W ater Dept. <br /> A lication No... ..:��st ,1._... Date.......... " `-•f <br /> ;j ' i ' , � , , ; . , ��- ` <br /> PP � � .....................................19......� <br /> . _/rl�i <br /> �. � ....:.:........ inch water service pipe <br /> For ....�:....�..� (.^ ., , �cL ��f .�..... ......................................... <br /> � <br /> ........................................... <br /> .............f��......!. � <br /> On .................:............. '- �.:�:.�...:�.........-----........---...... Street <br /> i <br /> Lol.......................� � . ........... Block No..................................... <br /> Addition ' <br /> . .................... <br /> � � <br /> o r.. , <- <br /> ............ ...................................................................................... <br /> Remarks ............................•''. <br /> ..............................................�----.....--�-�--.............. <br /> ............................................................................................................................. <br /> ............................................................................................................................. <br /> � o-- , . .. . .... .. .... , � <br /> � - - � • --- <br /> . <br /> ..... ...... . .. ...... _ <br /> `� _ , ,. <br /> }� • -- <br /> .. ....................... . <br /> ' ...��...a... ....�..�.5.. ..... ............................%!.....:��....._s �!.:...�:.!-�..•..- <br /> � � .����� Su�erinten�ent _�_ <br /> �_in�i "c ��� �:r . �:�1_ir �� ' <br /> LABOR AND MATERIAL USED <br /> %.1 <br /> No (:� yze <br /> --- — <br /> ......................................................I Lead Connection Complete <br /> ..................�t...........�_.................. Snddle Complete <br /> ` �'; c. '` { i�.::.• <br /> ..St............_.............. ...I_t�,:_�... _..........----..................................Pipe <br /> .....................f.........::.i:................. Service�Cock <br /> ......................._!............................ Servicc Box <br /> i�in. Hours Labor..............................................Cost......._........................................... <br /> Cutin...................;Pavement....................X........................ .......................Sq.Ft. <br /> . /. . i , ' .: = �.�.:.i:..............X........................ .....__. <br /> .............. <br /> �� <br /> ,.. �' � ; ....................X........................ ........................ <br /> ,� <br /> ��,.� ; . :. .. ....., <br /> � ' ' � , ....................X........................ ..................._... �� <br /> . . Tatal ........................Sq.Ft. <br /> — --ij / <br /> , <br /> , � Remarks..........................._.......'c::... ...:...:..._.:....................................... .... <br /> _ . ..... <br /> � : ', f) +� ". , <br /> . , <br /> � . ... ......... .................................."""'...:.......:<............_�..:..L:..:..:........................... <br /> �i ' <br /> ..,� '(- � •� . <br /> ...':..................................................:...:...:................................................._........... <br /> Order Recei�ed .... ..................................................... .......... <br /> \Vork Completed .:.: `' ' "� i ' <br /> ...............................: ...�.:..1.:.L..L............... .. <br /> Foreman <br />