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/;,"D 6 8 . �� �t�.s <br /> w. o. ronH a <br /> � CITY OF EVERETT--Water Dept. <br /> r ... <br /> Application No.�..�? �.�. .c� Date..........'..... _�.........._..............1�..� ,� <br /> , Install...............• inch water service pipe <br /> ' • i � <br /> For � :��C.r.z�;........;��/F:/..ti'..�`:_....................._................. ........ <br /> On .....�-�'.z"�:"� ....0 �:�l�:c.n.�.:.�`.Sn.�.........._................... Street <br /> Lot..z.307......�:°.��+r....l.�.�_t?..... Block r'o................................�---- <br /> Adiiition .......................................................................................................... � <br /> remarks ...........................�... . . ........r.................................---......... <br /> .........................................C.�,::z,::��+:,,!a.�.7.�ti�`........... ....----- <br /> ................... <br /> ..................................................................................................... ...................... <br /> .... ................................................................................................................... <br /> ........... ............................................................................................................. <br /> Superintendent <br /> LABOR AND MATERiAL U3ED <br /> No. ' Sizc � <br /> -- — <br /> ...................................................... Lead Connection Complete <br /> ...................................................... Saddlc Complcle <br /> .......................f t............................ ........................... ............................................Pipe <br /> ...................................................... Servicc Cock <br /> ...................................................... Ser.ice Box :�`�: <br /> No. Hours L�bor........................ ....................Cost.................................................... ,. <br /> Cut in....................Pavemenl....................X........................ .....Sq.Ft. �,.� <br /> ................... <br /> ....................X........................ ......._............... <br /> �, <br /> ..................... ........................ ........................ <br /> �� <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> '- -----" --- <br /> Rem arks............................................................................................................. <br /> ....................................................................................................................... <br /> ................................................... .................................................................... <br /> OrderReceivcd............................................................................................... / <br /> \Vark Completed........................_......................... .._....._......................._. .. <br /> Foreman <br />