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/�'o S2 ���,�� <br /> rour� � ., (/ <br /> CITY OF EVERETT--Water Dept. <br /> Application No�:.lr..���'>.�..�z� Date..........�.- � C <br /> .............................19..:'-7 <br /> nstall. ....................... . .inch water service pipe <br /> On .......�f ..c�......!�!'�Ga.�� '�. .............................................. <br /> ....' �� ,,� /,. " J �� <br /> . f'.'.7.'........C:.._�:�.�.✓G. :-.s!......._.................... Street <br /> r <br /> Lot..=L�.:�....C.. ...Y..-��......l.J......... n:a }: No.........._...................._... <br /> Addition .... ................................................ ... ......... .................................... <br /> Remarks ............................/.- ..............- . _. . . ...................---...........---• <br /> , .... <br /> _. - . <br /> � �., .z:( , ; <br /> ...................................... .._. . ; . .. ......................._........ <br /> - ............. ........................... . _. .. .. ......... ... ...._.................................. <br /> ................................................................ ..................................... .. ---.... <br /> ................... ............ .................................. ................................................. <br /> Superintendent <br /> I,ABOR AND 111ATERIAL USED <br /> ?Io. ' Size � <br /> ---- — <br /> ...................................................... Lead Conneetion Complete <br /> ...................................................... Ssddle Complele <br /> ......................tt............................ ........................................................... ...........Pipe <br /> ...................................................... Servicc Cock <br /> ..................................................... Ser�icc Box <br /> ........_..._....... ..................�...I ...:_......................_.._..............._.._.._.._........_...._..�_.:_.........._.....-.'.. <br /> No. Hours L�bo:..............................................Cost.................................................... <br /> Cutin.......... . .Pavement....................X........................ ........................Sq.Ft. <br /> ...................X........................ �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ----'--'------ <br /> Remarks........... ............................................. ................................................... <br /> ........................................................................................................................ <br /> ........................................................... .................................................�--...........-- <br /> OrderF.ecci��ed.................... ............ ............................................................. � <br /> \Vork. Complr.led_....................._... <br /> _..........._...... ... ............._...... ... ..... <br /> Fnremar ' <br />