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w. o. ronwa b '�/�9 � / _ OC � ,'� �1 <br /> CITY OF EVERETT--Water Dept. <br /> - - c �........�s...... <br /> Application No...�..7.�..s��... Date..............:........�............. <br /> 7nsta1l...............................inch water service pipe <br /> For ................................... . ................................................. <br /> �.......................... <br /> On ........�_�C 0 •f� (1 T�L.�..:...�,2..l:............................. Street <br /> Lot................................................::............ Block No...........................---....... <br /> Addition ............................................�---.......................................................... <br /> Remarks .......................................................................................................... <br /> .......................................................................................................�---.................. <br /> ..................................................................:............... .. <br /> .. . . <br /> �.... .... . .. <br /> k� .................. <br /> ............ ........................................................................... -,� <br /> .......................... .... <br /> �,$/�,perinten ent <br /> Y-�'7�C�c,a� C.. <br /> LABOR AND MATER[AL USED <br /> No. Size � <br /> —— <br /> ..................................................... Lea3 Connection Complete <br /> � ......................................................� Saddle Complete <br /> ......................St............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ............................................:......... Service Box <br /> No. Aours 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 /> OrderReceived............................................................................................... <br /> \Vork Completed............................................................................................ � <br /> Foreman <br />