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e. �. rnmec a�3� �� � � <br /> w. o. raaw a� �.�3� <br /> CITY OF EVERETT--`�later Dept. <br /> Apglication N9./.,�.1.�-�. Date ........._�.'::s.t:.`-.:�.�.........19�.� <br /> Install........_��`/............inch water service pipe <br /> For ..... .. . ..�+.�...,f..�.�:��.:�a::a�:�r..................... <br /> �" �I' � . .......... <br /> On .......�+�. �:...:l.�r.-��.��..���..F............ Street <br /> Lot................................._.........----......-----.. Block No.....---......----•------.......... <br /> Addition .....�c:z��s._d'�.�::.............................................................. <br /> Remarks ...........:..2�-��v=.c..:...._.l.�:.: �c.asa..F.f:."'_..................... <br /> / �. <br /> ......................................................................""'.............."'................""""""".... <br /> ...........��.aE.�....�6.C':2.[S.-.4.:n:Lc.........................""................_...."'_" <br /> .� -...._ <br /> ...................:.:�........................""' '.........""'.............."' <br /> . ���y....................._.............� . <br /> ..........................:.............. .�, .......c'.L"'................._........... . ..u.r.......r�.f.-1....-y.. <br /> /;�j�,;� � �" �� Superintende+ft/ <br /> F�� � L_ '�'� 5� >l� <br /> �i , T LABOA AND MATERIAL USED <br /> No. Size <br /> .... ............................................ Lead Connection Complete <br /> ...............................3...............:.. Saddte Complete <br /> .............::......St....:��:::.......... ........................................................................Pipe <br /> r• <br /> r <br /> .................�.............:...:............. Scrvice Cock <br /> � ....1.�1.:�[:....... Service Box <br /> ......................_.... <br /> No. Hours Labor..............................................Cost................................................... <br /> Cut, in....................Pavement....................X........................ ........................Sq.Ft. <br /> , � <br /> „ � .. <br /> . : ,`... ....................X........................ ......._............... <br /> � . _.,� <br /> ,� ....................X............... . �� <br /> . . _ . ....... ........................ <br /> , . . <br /> .,�..�.i dd ....................X........................ <br /> ........................ <br /> �� <br /> �=�' � <br /> .,c� Total ................_......Sq.Ft. <br /> -- - ,. � �� : - <br /> Remarks.......................:.�:�1.�C......r..t'f...�.L................................................ <br /> H ,. . .. <br /> ................................................:.Lt..:..�.l�f.:.C.G:.:..:..:.:........-..........................." <br /> . , <br /> ..........................................:......:.+.:.:..�..:................................................._........... <br /> OrderRecei��ed........................................................�.................................. <br /> � .... <br /> \Vork Completed�l:".�:.:'..:.:::::...... ..... ..........:::.....:::ci:t:..:.:r,:............... <br /> Foreman <br />