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i� <br /> / Q <br /> w. o.�ro�w � � � �,�� � ., 7_p C 3 � . <br /> CITY OF EVERETT--Water Dept. <br /> fl % '- � - � `l <br /> Application No...�.7.�......�.... Date..........�.-:'.................................19...... <br /> Install...............................inch water service pipe <br /> For .............................. .. . <br /> / - r <br /> On ......CC�..!�.,�..�...... : �-/:�:Lt.a..:,ll"................................... Street <br /> ::... <br /> Lot........................................(�.-/••---......... Block No..................................... <br /> Addition .......... .............................................................................................. <br /> Remarks .......................................................................................................... <br /> ............................................................................................................................ <br /> .................. .................................................................................................••- <br /> .......................................--.....------................... ,-'`�.- <br /> ..;. . ....................... <br /> �'/...1`.. ,��h_`1-...--- <br /> .................................................................. ..................... ...�-- <br /> "�-�""�""-'��� uperintendent <br /> ���-.c <br /> LABOR AND MATERIAL 'JSED � <br /> No. Size ( <br /> .... .........................................._ :.ead Cnnnc^_tion ComPlete <br /> ...................................................... Saddle Complete <br /> .......................f t.. ..... ................................................. ..............Pipe <br /> .......................... <br /> ...................................................... Service Cock <br /> ............................. <br /> ......................... Scrvice Box <br /> No. Hours Lab�r..............................................Cost.................................................... <br /> Culin....................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 Campleted........................................................................................... <br /> Foreman <br />