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- - /7l93' � - � - X� � 3 ��; <br /> w. o. roaw a <br /> ` CITY OF EVERETT--Water Dept. <br /> Application No...�7/9.3._. Date.......:�._-.1..::...�:...�..............19...... <br /> Install...............................inch water service pipe <br /> For ................................. . <br /> .. . <br /> .... ......................................................... <br /> . .. <br /> On .........�C'..�..(..:�..........::.:fl'�:2:�::=��.............................---.. Street <br /> Lot.............................................................. Block No.........-----....................... <br /> :lddition ................................................ <br /> .......................................................... <br /> Remar}:s ...................................�-----................................................................. <br /> .........................................................................................................�--�----�--....-- <br /> ............................................................................................................................ <br /> ...................................................................................................... <br /> . . <br /> �� cA,i�. <br /> .............................................................'............................... - <br /> .......................... ." <br /> ,,S,}�pf rintende <br /> I��'lc -:.c.�t_-. <br /> � <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> ................................. .......... Lead Connection ComFlete <br /> ...................................................... Saddle Complete <br /> .......................ft............................ .............................................................. .........Plpe <br /> ..................................................... 5crvice Cock <br /> ...................................................... Scrvice Box <br /> No. How�s Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -------- <br /> Remarks............................................................................................................. <br /> ................................................................................................................�--...... <br /> .............................................................................................................................. <br /> OrderReceiced............................................. ................................................. <br /> \Vork Completed............................................................................................ <br /> Foreman <br />