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,�,;a� <br /> _------------ — ---- — <br /> _ _ <br /> /�f C c�3 2 ✓ '' <br /> ' wr o.�iZfaw a� . ' .. . /t��.,��, ., �. <br /> ' CITY OF EVERETT--Water Dept. <br /> � F<.`.Z-- l ;� n�.na 1 t:s2 <br /> �lpp}ieetien•No...�.�...`'..'.... :. <br /> .. Date................................................19...... <br /> �7nsta1l............:._............_ .inch water service pipe <br /> ,�� � /;� , . , ��c -.. �� '� ='�-.' <br /> F��� ..__...:...:................... :.....1...-.:::.:...�:_..:.._:.:........................................-- <br /> , <br /> ... <br /> .....A. f:.�_ � � <br /> } <br /> � ' ' S ...�_--�.::�.::.:::..! � � .:`........................... Street <br /> On ........:.................... � . .... <br /> Lot.............................................................. Block No..................................... <br /> Adclition .......................................................................................................... <br /> Remarks ................. .......................... ........................................................... <br /> .......................................................................................................................... <br /> ............. .........................................................:..............��--........ ........................ <br /> ........................................................................................................�-�--.......... � <br /> __...._........................................................_.......,..................................----....... <br /> i <br /> Superintendent <br /> LABOR AND MATEAIAL USED <br /> No. Size I <br /> .... .............._.............._........._�Lcad Connection ComPlete . <br /> ......................................................� Saddle ComPtetc <br /> .......................ft........................... ........................................................................Pipe , . <br /> ..................................................... Scrvicc Cock , . <br /> ......................................._...._....... Ser�ice Box , <br /> ...._..._..............I.......�.....�............ ........................._......_..........._....................................._............_..'� <br /> No. Hours L�bor.............................................Cost.................................................... <br /> Culin....................Pavement....................X........................ ........................59.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................59.Fl. <br /> --- ---- <br /> Re m a rks...................................................................................................... ...... <br /> ....................................................................................................................... <br /> ................................................................................................ ... .................... <br /> OrdcrPeceived................._............................................................................ <br /> 16'ork Completed.................................................__ ....................................../ <br /> Foreman <br />