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� � <br /> e.-�.'rai�C� � ! / � � .- � ! 'f '1"d N <br /> W. O� IGRM ] <br /> CITY OF EVERETT--Water .Dept. <br /> l.c_-��-. _ <br /> .4pp�ieatien No.�/C�..`.'�.�:. Date......_...r'.aR.l.....lfrc.............19...... <br /> � 7nstall...............................inch water ser��:ce pipe <br /> � <br /> Fori..........:}.-'.:...._`..:��.....!7..�<.(j.�1.-�A.:t.:.4.c.:............................... <br /> r � <br /> On ...�:�n..��.......�--1.`:l.?�:�..�Z2�C 2�t�:ti��................... Street <br /> Lot.................................................�--.......... Block No.......................---.........-- <br /> Adilition .......................................................................................................... <br /> Remarks ........................................................... . <br /> .............................................. <br /> ............................................................................................................................ <br /> ................................... ........... .......................................................................... <br /> .....................................................................................�•----.............................---•- <br /> ......................................................... ................................................................ <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. ' Size I <br /> ...... ............................................I Lead Connection Complete <br /> ...................................................... Snddlc Complete <br /> .......................St............................ ........................................................................Pipc <br /> ..................................................._ Scrvice Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cut in....................Pavement....................X........................ ........................Sq.Fl. <br /> ....................X..........._..... �� <br /> ...... ......._............... <br /> ....................]i........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total .........__..... . Sq.Ft. <br /> ---- --- <br /> Remarks............................................................................................................. <br /> ..................................................................................................................... <br /> ................................................................................................................_........... <br /> OrderRecei�•ed.............................................................................................. <br /> \Vork. Completed........................................................................................_.. <br /> Foreman <br />