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R,A PRICY[ j� O _ 1 � <br /> M'. O. fORM �� � <br /> CITY OF EVERETT--�,vJater Dept. <br /> Application No.�:..---�.............^ Date......_...:_:....----...............:.........19.:..:. <br /> In;tall..-_..................... ...inch water service pipe . <br /> �_..�,.i..� .. f. ., ' . , �,. ,. <br /> i <br /> FO[ .........."1""':...:...:.::................................................................................... <br /> �' , ' , <br /> On ............:....'..._:_::.......................................................................... Street <br /> Lot..................................•---•--..._.........._._ f<lock No.--••---......----...----•--........ <br /> A!iditio;� ...............�...........----.......................................:.................................. <br /> � , <br /> ...t.............. � , <br /> Remarks .................. � ' .....:::%</....................`...:::..:_........�.o„�.r <br /> ............................................................................................................................. <br /> ... ..............:.........................................................._.........................�.............._... <br /> � 1 <br /> �) I.I,l,.i....... ' � :J �........._:.................... <br /> -........r,. .......--�..................... ...........,_;......, ... _ <br /> ....' . <br /> . .- :•.. = , � . �: <br /> �.:..'�...........�............................................:... ........_�...'�...........---.........._ <br /> Superintendent <br /> / ; . � <br /> i <br /> LABOR AND MATERIAL USED,i <br /> No. Sixe � <br /> ....................... ..................... .. I Lead Connection Complete <br /> .. <br /> ..........._....J. . . ... . .. Saddle Complete `, <br /> ' . fA �� � :..l.i..t.�:.:...:.............._...................................PiPc I <br /> ................!�......__..................... <br /> / ''� Scrvice Cock . ��,�{� �'" <br /> .................................................... �1 <br /> .....................j............................... Scrvicc Box � i) I . <br /> ...._......................._................. <br /> ...... ....................................(.�i......:..._..1...._...r._................................. <br /> � , <br /> ...................................................... ...................................................r.... ....................r1. ....................... <br /> .......................... .......................... ............................................_...':........................ra.i?............................. <br /> .......................... .............. .......... ..............................................................:.�.,..,,;....�.................................. <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin....................Pavetucnt....................Y......._............... ........................Sq.Ft. <br /> � �� <br /> "�J i�� /, l�.i.� ....................X........................ ......._............... <br /> . <br /> , . ,_ <br /> i � ���. � ....................X........................ ........................ <br /> . � <br /> , e,r.�• <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---------- .�..._.....�_.as.a......:.:: �..�-� <br /> Remark:.................... :..._.�!..:.i:,:.......�.c.t.::..t..:.:. � r �.� .:... <br /> ,� <br /> .................................._:r.x::.n.=.._a._..;..,:.::....:............................................ <br /> ......................................_.......:.......................................----�-�--....---...................... <br /> OrderPeceived................................................._..........._................................ <br /> , > <br /> \Vorb: Campleted...::..::1:.:..::.:::........................................i......:. :.:..._........ <br /> Foreman <br />