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S.y PPI�H` 'JMf G � � �. ' � <br /> W. O. IORM .'i� . .iA i:.'': .. �� � ` ��] <br /> L� <br /> �ITY OF EVERETT--Water Dept. <br /> F nplication No...��..C�J....l.. p tc...............�.:: � (�'o <br /> � . .. .........................19...... <br /> (U• Iastall........_��.!�.............inch water service pipe <br /> For ..._`:�:�:.�....��;"1.:�:�A--::� A <br /> r- r\ . .............. <br /> ......................... ... . <br /> On ............:...�._� .� ��5�7,,yW-�-�� �5... .... <br /> ..... ............. ....... Street <br /> .......................:............... . <br /> Lot........................................................�----. Block No.---................................. <br /> :lddition ..........t�............. ..................................................................... <br /> Remarks ....................... .........�'C,:c!.:.1.:�.�..'i..:�.�_L.��`.:�:�:---........ <br /> ............................�.........._`. <br /> �................................................r. <br /> .......................... <br /> ......................................................................................................•--......._...._... <br /> ...........................................................................:1.......... � � <br /> . ,......._,.....�......... <br /> ... , <br /> �,' ,, r , <br /> .........................................� ��.-5;�. �F4�tc.. <br /> .................................. _...^ :4:�....�-:�. .:-_"'_•- <br /> It. �uper�i�ntf-andent , � <br /> — — — �3-i.l �+ �-1-v l�'C�o <br /> LABOR AND MATERIAL USED . <br /> No. Size <br /> .....•.........•..-•...•..•......•.................... Lead Connection Complete <br /> ...................................................... Snddlc Complete <br /> ......................St............................ ...................Pipe <br /> ..................................................... <br /> .................................. .. ............. Service Cock <br /> ..................................................... Service Boz <br /> ............................_....................... ..�... � <br /> . . ...... <br /> . .............. . ..................................................'-'............... <br /> �_:... a`2..... .....:-G.'.F..-S................ <br /> .................._............................... ...�. <br /> .........._........................... <br /> .......................--..................... ... ..8_'....4/................._........................ <br /> ........ <br /> No. Hours Labor.............................................Cost..................................... <br /> ............... <br /> Cut in....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ......._. �� <br /> .............. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................7C........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> _— ---- <br /> Remarks.............__:._;....;...................... <br /> _ , , ......................................................... <br /> , % < <br /> _ .............. .,�:..�..........._,..�.� <br /> ! ....0.................... ............. . ... ..........�---.. <br /> _ ; .� <br /> .. .................. ................:.....................:............ ...........................�---.............. <br /> OrderReceived............................................................................ <br /> .................. I <br /> \Vork Completed............................................................... <br /> ......................... .. <br /> Foremau <br /> —�r__ �: <br />