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C.'.i. PRIC]� 1 � �.� �� • ` - . � <br /> w. o. .oa� � , �i 3 - <br /> _, , <br /> CITY OE_ EVERETT--Vt�atez Dept. <br /> _ __ _ <br /> ApplicaLion No....:i:.3._{! f ..a. Date................................................19...._. <br /> Install...............................inch water sarvice pipe <br /> For ..................:....:.........................................................................................• <br /> On .............:.......................................................:......:....:..................... Street <br /> Lol............................................................. Block No.........................._.......... <br /> Adcl;tion ......... ............................................................................................... <br /> Remarks ............... ......................................................................................... <br /> ................................................ ........................................................................ <br /> .......................................................................................................:•.................. <br /> � . ......................................................_......---.................................................... <br /> .........................................................................................................................• <br /> - fiuperintendent <br /> — LABOR AND MATERIAL USED — , •� <br /> No. ' Size I �� <br /> ...................................................... :.cad Connection Complete <br /> ......................................................� Sndctic Complete <br /> . ...ft......:..................... ............... ......................................................Pipc <br /> .................... <br /> ......._......................................:...... Servicc Cock <br /> ..................................................... Service Box <br /> No. Hours Labor..............................................Cost................................................... <br /> � Cut in....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X....................... �� <br /> . ............__........ <br /> Tolal .................. Sq.Ft. <br /> — ------ --- -- <br /> Rema rk,...................................................................... ...................................... <br /> ................ ..................................................................................................... <br /> ............................................................................................................�--............... <br /> OrderRecei��ed.._................ ........... ............................................. . ........ ' � <br /> \Vock Completed........................................................................................._. <br /> Foreman ���,�`� <br /> ' <br /> r <br />