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,_ , <br /> w. o, ro�r a �,���r� —_ .2S ' �/�� — _ � <br /> CITY OF EVERETT--Water Dept. <br /> � <br /> Application No.....1..�.��� Date....::.�.'....-.._�...........................19...G..�f <br /> lnstall...............................inch water service pipe <br /> For ...................................:••j-...................................�:.................................. <br /> On �..�..�.� �1 — -. c ._ , , . ..ti.--•-Street <br /> --...... .. ......._t....T...L.�...:.�..::�r-.J�..,,r�_....�.......:.... <br /> Lat......................... ................................... l�lock No.....................---............. <br /> _ Addition <br /> ......................................................................................................... <br /> Remarks ..................................................................................•-- <br /> ................... <br /> ............................................................................................................................. <br /> �1..............�.....--�--.................................................................................... <br /> ........;�:........:.:............................................................................. <br /> �� <br /> ....:..................................................................................................... ............�-��- <br /> — __ \3� /% � Supermtendent <br /> LABOR AND MATERIAL II3ED <br /> No. Size <br /> ...................................................... :.end Connection Complete <br /> ..................................................... Saddle Complete <br /> ....... .............St............................I .......................................................................Pipe <br /> ..................................................... Service Cock <br /> ...................................................... Service Boz <br /> No. Hours Labor..............................................Cost................................................... <br /> Cut in....................Pavement....................X........................ <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks...... .................. ...................................... -- <br /> ......................................................................................................................... <br /> .............................................................................................................................. ! <br /> OiderReceived............................................................................................... <br /> \Vork Completed............................................................................................ <br /> Foreman <br /> ._.e,. _ . ..__.. ,,. <br />