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- - l727/ - _ .� x �- 3 „ � '" <br /> w. o, ro�w � <br /> CITY Or EVERETT--Water Dept. <br /> A lication No..�..�./.�Z.. . . .... � � � � ��t <br /> PPI 7.� Date.......................................�-�--....19...... <br /> Install...............................inch water service pipe <br /> For ...................................... ....................................................................... <br /> i <br /> On ..............�l.'..�,3./....... .._��1... 1.4.�:�L..................------....... Street <br /> �� <br /> Lot.............................................................. Block No.............................-----... <br /> Adclition .......................................................................................................... <br /> Remarks ....................................................................................•------............... <br /> ......................... . ..................................................�--..................................------•- <br /> ......................................................................................................................�----•- <br /> ..............................................................................._ .............................. <br /> �....: <br /> ....................................................................t.�/��... � (.1_t� <br /> ..... . . - --- <br /> (��er' ndent <br /> i cu_� <br /> LABOR AND MATERIAL USED � <br /> No. Sizc <br /> .... ............................................ Lead Conncr.tion Complete <br /> ..................................................... Snd�]e Complele <br /> .......................f t............................ ........................................................................PiPe <br /> ..................................................... 5ervice Cock <br /> ...................................................... Service Box <br /> A�o. Aours Labor..............................................Cost....................... .......................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Totat ........................Sq.Ft. <br /> — --- --- <br /> Re m a r ks............................................................................................................. <br /> ................ ................................................ ........................................................ <br /> � <br /> ......................................................................................................................... ... <br /> OrderRecei��ed............................................................................................... <br /> �Vorl: Completed............................................................................................ <br /> Foreman <br />