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1�.4 �ICBI ]/� � • z O ✓ ��- ✓`_��n ` <br /> W. O. IORN ] <br /> CITY OF EVERETI'--VU'ater Dept. <br /> Application No..�7�o_.... Date.......�..... �.4/....7................19,r�' <br /> Install......._��...:�.._.inch water setvice pipe <br /> For .................................../..�................................................................................ <br /> On .....f�..G!/�...�..T.�t.c.��.................................................. StreeL <br /> Lot..........................-------.....--��-�-------... Block No......-----......................... <br /> Addition .......................................................................................................... <br /> Remarks ..✓..t�.xa�..r_...:G.l..-........................._-----.................................... <br /> ............................................................................................................................ <br /> .�.�.,.�y.....�a�..._....._�'�..�',��..................................._....... <br /> ....................................................................................................�-/-��-�--�--�----........ <br /> .....................................................................................�---� <br /> � ...�./.....::y�........ <br /> SuperintenQent <br /> _ �i.u/ <br /> LABOR AND MATEA2AL IISED <br /> No. Size I <br /> ...................................................... Lead Connection Complete <br /> .....................................................� Saddle Complete <br /> . � -> i I <br /> ................?..�.ft....!.�.4.............. ...�'i:.::}LY..............................................Pipe <br /> � ...................�..........''.lS.:......... Scr�'Cock <br /> � ........................F........................... ServiceBoz <br /> ................................................................................................................ <br /> ........................... .......................'-I ................................................._.............................................. <br /> No. Hours Labor.............................................Cost.................................................... <br /> Cutin...................Pavement....................X........................ ........................Sq.Ft. <br /> ,��G/..;� . � �� <br /> , . . -, .........._.......X. <br /> , ....................... ........................ <br /> r ;. .. ; <br /> _-` �'; i . �w., � � . . ..........._....:.X..................._. .....__. <br /> . .............. .. <br /> ....................X........................ ........................ <br /> Total ........................Sq.Ft. <br /> — ------T/ <br /> Remarks................................!�G....�t.;+...7a...1�._.............................. <br /> ................................................ Q.�Gt..:..:�.?..!:�.:..1.::..:..:� <br /> c{ . . . ................... <br /> ....................................................c[....<.:2�:3::"�::::::............_"'........._......"""...... <br /> OrderReceived..............................._........................................................ -.. / <br /> \Vork Completed../...-j�t��.%5':.........._:. ...� �G:-c_�:,................... <br /> �..�...... <br /> Foreman <br /> --+r_-.__ <br />