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- � -/4� ¢ � � _ � �✓. <br /> w. o. roaH � � �� �.�/.--r <br /> CITY OF EVERETT--�Water Dept. <br /> � : ��v� <br /> < < < � � iir� � <br /> A�itc�Ftat� No.......:.......'... .... D�te................................................1�3...... <br /> For ....� �,�stall����/l�in'ch wt,ter service pipe <br /> '..,... . .r..�.......... <br /> � . . ......... ........ <br /> On ........�'....�?..jr._.......Lf��'?:�-.�.Y..J.�C..4'.::Z.�C.. 5�treet <br /> Lot.............................................................. Block No..................................... <br /> ndilition ............................................... <br /> ............................................ <br /> Remarks ......................................................... <br /> .......................................�--••-�--- <br /> ......... ...... ......................................................................................•--.....---..--...... <br /> ...................................................................•�---...............................................--•-�- <br /> ............................................................................................................................. <br /> ........................................................................................ ................�-�--••--�--- <br /> Superintendent <br /> LABOS AND MATERIAL USED <br /> _.No_ _ j Size I <br /> i-- <br /> ...._.._...._......................... I Lcad Connection Complete <br /> ......................................................� Saddlc Complcle <br /> .......................ft........................_.. ......__..._............................................._...........Pipe <br /> ..................................._......_.....__ Scrvice Cock <br /> ...................................................... Service Box <br /> No. Hours Labor.............. ...............................Cost................................_................... <br /> Cul in....................Pavtmenl....................X........................ <br /> ........................Sa.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ...................X........................ �� <br /> ........................ <br /> .........._........X......................_ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> —' --- ------.. <br /> Remarks............................................................................................................ <br /> ......................................................................................................................... <br /> ....................:.................................................................................�-�----.......... <br /> OrdPrHecei��ed............................................................................................... / <br /> \Gar}: Completed.......................................................................................__. l <br /> Foreman <br />