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`��o�- � <br /> w. o. ronH a �A - ,_ � - . <br /> � - CITY OF EVERETF--Water Dept. <br /> _ �, , <br /> - ., . _ , ., <br /> Applica�ion No.:�...�:�'..:.:.:.-.... Date........:::......::..:_!.......................19....-- <br /> I:�stall...............................inch water service pipe <br /> For ................................................ . .................. <br /> . �............................................. <br /> „ <br /> _ <br /> . <br /> , � i� � /. � . <br /> On .......................:o.u:.�'.�:......::::.:.�:t..:::.:............�:::::....:�..... Street <br /> Lot.............................................................. Block No.............::..................... <br /> :lddition ......................................................................................................... <br /> Remarks ..'....J..--e;i�.................................................................................... <br /> ........................:l'.:L:.:...........................................................................------... <br /> .......................................................... ..................................... ........................ <br /> .................................._........_.............._......................�.�{..':�:'..�<�'-.: �.�,� <br /> Superinlendenk% <br /> i�/� <br /> LASOR A'VD hfATERIAL USED <br /> No. ' Size � <br /> ... ............................................. :.ead Connection Complete <br /> ...................................................... Sa�idlc Completc <br /> .......................f l............................ ........................................................................Pipc <br /> ...................................................... Scrvice Cock <br /> ...................................................... Service Box <br /> ................................................... <br /> ........................... ..........................i ................................................................................................................. <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks...... .................. ............................................................................... <br /> .......................................................................................................................... <br /> OrderReceieed............................. ................................................................. <br /> 1Vork. Completed............................................................................................ <br /> Foreman <br />