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. /�D � O - . l�r�/ r� <br /> w. o. ront�+ � L-�- <br /> CITY OF EVERETT--Water Dept. <br /> App:ication No�:_�2.�1.1.�. Date...._�.�. .I.............................19.�.�Z <br /> Inst 11....... ...................inch water service pipe <br /> For .. ...::��1�:�-1.�.�.....�C..2� ��. ............................................. <br /> / . . .. <br /> On ..........�. _ :.. .... ��.. .. ' a.n.,... :�sn.�............................. Street <br /> ....... <br /> Lot..�.'.-..�'�'2............�?.�!�t.'!9-.tS.l.�d....... Block No..................................... <br /> Adcliti�n .......................................................................................................... <br /> Re�narks ......................... <br /> .. ..... ............. .....\....................................... <br /> .. ....... <br /> .......................................... . ..L.2.4.{:y(�Q-�6x Ll <br /> ....................................... <br /> ............. ................................................................................................................ <br /> .............................................................................................................""'""...""" <br /> ............................................. ............................... ............................................... <br /> SuperintendenL <br /> LABOR AND MATERIAL USED � <br /> No. ' Size � <br /> ---- -- T — <br /> ...................................................... cad Connectiun Complete <br /> ..............._..............__................... Saddle Complete <br /> .......................ft. .......................... ........................................................................Pi pc <br /> ................................... _. ...... ... Scrvicc Cock <br /> ...................................................... Scrvice R�r <br /> iQo. Hours L�bor..............................................Cost.................................................... <br /> Cut in....................Pavement....................k........................ <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ �� <br /> ....................... <br /> Total .......................Sq.Ft. <br /> �—�---- --- <br /> Remarks........................................................................... <br /> ................................. <br /> ...................................................... ................................................................... <br /> ............................................................................................................................ <br /> OrderRecei�•ed............................................................................................... <br /> �Vm�k Completed...................................._...................................................... <br /> Foreman <br />