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l3�sq �, ��� �� <br /> � <br /> W. D' 10!!.1 = _ _ <br /> CITY OF EVERETT--Water Dept. <br /> _ _ - <br /> Apulicatimi ivo.l�3.1.�. � Date............'�j.....�.........................la..�"f �l <br /> Ins ll......,.... . mch water service pipc <br /> �-, /� � ��; �" �;:..��� ,�. <br /> For ..... :...Cil,�t.��. .......�/ .::.Y.�j............................................... '� <br /> On ...........�5�........�:.M:�s.-r.�.1:.<a<::.... ...................... Street `;. <br /> Lut.�C?!rF....._�n�t��+r.�!_a...... Block No... ..........................-----• ��,. <br /> , <br /> Addition ..................................................................... .................................... <br /> f. <br /> Rcmarks ..... . . . . . . . .. <br /> .......................... <br /> .......... ........... . <br /> ...................�-----_........... <br /> ............................................. ...�ii.tn.a.i;�!'c.L: �az�.✓..................................... ; : <br /> � <br /> ......................................................"...................................................................... � <br /> ..... ....................................................................................................................... � <br /> ............................................................................................................................. : <br /> Superintendent � <br /> LABOR AND MA'SERIAL USED ` <br /> No. Size I <br /> ---- _ <br /> ......................................................I Lead Conncction Complete ' <br /> ................._......_..........................! Saddle Comp:,te <br /> .......................St........................... ........................................................................Pipe , <br /> ......................................_.............. Servicc Coak _ : .. <br /> ...................................................... Scrvice Dox <br /> ...................................................... ................................................................................................................ <br /> ..................................................... .............................................................................................................. � <br /> ..................................................... ...................................................................... ......................... .............. <br /> ............................................................................................................... 1 <br /> No. Hours Labor..............................................Cost.................. ................................ <br /> Cutin....................Pavement....................X........................ ... ...................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ....................... <br /> .................... :....................... ........................ <br /> ,� <br /> t <br /> --'Cotal ........................Sq.Ft. <br /> _�—�---------- -- - <br /> Re�aa rks............................................................................................................ <br /> ......................................................................................................................... <br /> ........................................................................................................................ . <br /> OrderRecei��ed............................................................................................� <br /> \Vark Completed.................................................._....................................._ : <br /> Foreman <br />