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o.•a. nnrtoe.a�� � � � ( � / 7l k / �Cl <br />w. o. ronH a � <br />ITY OF EVERETT--Water :Dept. <br />� f (� /, <br />Application No.I..^?..I..I..�.... Date.....r��::'��-:��..:....5 .:............19�` �. <br />i�stall.......�f rl._��..........inch water service pipe <br />For..................................... ............................J�.......r ............. <br />, ...... �, `......... r........... <br />On ........... � .�.: �:.�......�:.?�.%�:?`..�'�^ ..��_�.1?`.�- Street <br />.. .. ...... <br />U <br />Lot............_c3-.... „.. .. .. . Block No..--- ........................--- <br />r_ . . �...� �.:5.:.<.:(.z:.....�.�it.; L: Q-. <br />:lddition ...........L.<c�.....::..... ..S...F--' <br />,� ................. <br />Remarks......:..... ..................../..�................................�........;.........)...............- <br />•�--,��(� ...._`..�1.-.�.�:._�:.�... .J/y �L.l �l 'ZK �_. 'L� <br />................................ ... .: �........ ..... . . ................ .........._... <br />........� . r . .... ...........................................�---... .............. <br />. .. . p� .....-----��- <br />«'� ' �-Ll.:.l.�.�.:G.... 4.:.....!J_.�.:!::;i< <br />. <br />............. ............................ ................. .... . ... <br />/ Superintenden <br />i <br />>.. C � c l �t�-,% <br />LABOR AND MATERIAL ED <br />_No: Size � ___ <br />� , �:.^ad Conuection Comp] <br />...........::.:_........_ ..........................I ete <br />� ` �� Saddlc Completc <br />....:.,.� . .......�_ ................... <br />,.......�1:: ... ..ft........ �.'�.�.1 .......... ......... .................. ...........................................Pipe <br />................ _.:.. , .�.. . Sen�ice Cock <br />:.. ..... .. . . . .. .. <br />�' <br />.............�t..c.:�� _..............�..�.. Scrvice Box <br />...:.`...... �l_51.:' ...... ............. <br />No. Hours Labor ............................................Cost................................ <br />. ................... <br />Cutin ....................P.,�ement....................X........................ ........................Sq.Ft. <br />....................X..............._. .. <br />...... ......._............... <br />....................X........................ �� . <br />....... _ ............... <br />....................Y............ .......... ........................ �� <br />Total ........................Sq. Ft. <br />— — — — <br />Remarks............................................................................ - - <br />................................. <br />.........................................................................:................................................ <br />......................................................................................................................... <br />Or;ier Receiced .............................................................................................1 <br />\Vurk Completed......._ ................................................................................. <br />Foreman <br />