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�/� � � �/ ( <br /> 8. �. PRI[[� VG..��� •, •. G/ J��' % <br /> W. il. fOiM ] ,,._� C�!...�� . <br /> CI`i�- OF EVERETI'--Water Dept. <br /> i -;�G��' <br /> APPlication ��t '1_ 9ff b..........� <br /> N�'.;,.:J:t..._.—a Date........:..:.:.... "�.................J9...... <br /> Install...............................i7ch ���ater service pipe <br /> . For .............. ..... . . , <br /> ................... ...................................................................... <br /> _ . , . <br /> . i.l , � <br /> On ........:...... _.:.. .........:---.:..... �......:_�.:........::. Street <br /> ...--- " ..1....-... ............ <br /> Lot............. ............................................... Block No...............---................... <br /> Ad�3it;m� ............................................... <br /> ........................................................ <br /> P.emari:s ............................................. ........................................................ <br /> .... <br /> . .. . . .. . . . . . : � <br /> ................................................................. ........................................................... <br /> .........................................................................................................�--��-�---.......-- <br /> Superintendent <br /> _ �li <br /> LABOR AND MATERIAL USED <br /> No. ' Size � <br /> ---- <br /> ...................................................... Lcad i:onnection Complete <br /> .. ..............................................._.. Snddlc Complc:c <br /> ......._.............it.. ....................... ........................................................................Pipe <br /> ..... ................ ....................__..... Scrvice rock . ' <br /> ......................................................� Ser�ice Box . ,.;.. a. <br /> NcHours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> .................... .. <br /> ....................X........................ �� <br /> ........................ <br /> � <br /> Tatal ........................Sq.Ft. ' <br /> — ----- ------ — <br /> Re m a rks............................................................................................................. <br /> .. .................................................. ...:............................................................. <br /> ....... .................................................................................................................. <br /> OrderRecei�•ed............................................................................................... ' <br /> \Vork Completed........................................................................................... <br /> Foreman <br /> +,'. <br />