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:: .� <br /> ..�� <br /> � ` ��'�76i Z , � j � � <br /> w. n. roaH a <br /> CITY OF EVERETT--Wat�r Dept. <br /> Application No.r:..::....:..::... ::.. Dale..................:,1 <br /> ........ ...............19.-�--- <br /> � • :ns[all..............................inch water service pipe <br /> y - / <br /> For __.,:.,:.... ._.<........ ./..;.�c..r.1 <br /> . ...:�:.....:......................................... <br /> On ;i: i / ' � i`. .......... <br /> ........ ..I..:,:�.L.... ......::.... <br /> ........:..:.. .................... ........................ Street <br /> . <br /> Lot.............................................................. Block No..................................... <br /> :?dciition .............. ............... :....................... . <br /> � . ............... <br /> Remarks .......... C�.t4..1.�.. - , <br /> . . .... ................... <br /> . <br /> ......................................................................................... <br /> .............................._.......-�---.............---•--................ <br /> .............................................................................................. <br /> ..................................... ...........................................•--...... <br /> Superintendent <br /> LABOR ATD MAT£RfAI, USED <br /> _._...No. Size I <br /> —__r — <br /> ..... . .............................................i Lead Connection Compietc <br /> ............................................_...... Saddle Cnmpleta <br /> .......................f t........................... ........................................................................Pipe <br /> ............. ....................................... Servicc Cock <br /> .............................................. Service IIox <br /> _ ................................... <br /> .............. <br /> No. Hours L.�bor...................... ...................CosE............................ <br /> ....................... <br /> ut in......._. ._..._.Pavement_...._............X........................ <br /> ........................Sq.Ft. <br /> ...... .............X........................ �� <br /> ......._............... <br /> ......_..._.......X......................_ �� <br /> ....................... <br /> ....................X...:.................... ,� <br /> ........................ <br /> —.--- <br /> Total ........................Sq.Ft. <br /> ------ <br /> —-- <br /> Remarks..................................................................................................... <br /> ................................................................................... <br /> ....................................................................................... <br /> OrderReceioed.....................................__.. ............... <br /> ................................... <br /> \Vork Campleted...................................................................................... . <br /> Foreman / <br /> —+c� ��� <br />