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� � �:'76 / - �. :� ,�,-- _ <br /> �'. o. roau ' <br /> CITY OF EVERETI'.-Water Dept. <br /> Application No.L..:.'...%<.:.l... Date............_:�........�. <br /> ..... <br /> � lnstall............. ................... <br /> . 19...... <br /> ' i '-�•�--� ---�.i�mh �t�ater service pipe <br /> For ._—� ; /� <br /> ,. <br /> ._:...................:..?..`_.:.:.`_'•'- <br /> :.;..<...........: :... .. <br /> � , ........ ..................... <br /> n ........._ <br /> .;:../....c.:.......L......: i . ............. <br /> ......:_'....._:�_�:.:...................................... Street <br /> I.ot... ......................................................... Block No.............. <br /> :?d•.lition ....................�-- <br /> ................................................. <br /> .................... <br /> ernarks / .................................. <br /> .........................._...G....L..:t...:. . <br /> ......... ....... . <br /> ................... <br /> --__ ��Perintendent <br /> LABOft ATD MATER/AL U —� <br /> --NO_ Size � <br /> --- <br /> ...........................I....................._ :.c�d Connection Com �—��_---� <br /> ..................................................... Saddlc Complete Plete <br /> .......................f t. <br /> �....................... <br /> .... .. ................................ ......................Pipe <br /> ........................... ....... <br /> .......................... Scrvicc Cock <br /> ............................ <br /> .......................... Service Box <br /> ...................................................... <br /> ......................................... ....... <br /> ' .................................................... <br /> No. Hours Labor.............................. <br /> _....... ....CosL........................ <br /> Cut in............._.....Pavemcnt_......... .......................... <br /> .........7C........................ ........................Sq.Ft. <br /> ....................X........................ <br /> ......._............... �� <br /> ....................X........................ <br /> ....................... �� <br /> ....................X........................ <br /> _._.............. �� <br /> �--�_�____ Total <br /> – _ ................._.....Sq.Ft. <br /> Rema rks............................ <br /> .............................................. <br /> ............................................................... <br /> Order Receiced........................._......................... <br /> 1Vork Compl�ted.................. ......................................... <br /> .......................................... / <br /> ..... . <br /> Foreman <br /> —+c_ <br />