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-� <br /> a a vn�ccc a �' �. .�"' <br /> W. O. IOFM '] <br /> O�EVERETT--Water Dept. <br /> ��f'( � _ <br /> �S ��-y <br /> Application No.�.`........^�... �Date..`................._^......................19...... <br /> Install.....,!_?..:...............inch water service pipe <br /> For ......................................\.�.----.............................................--�--....... <br /> o�........_...�..)...y��.....��....� :�c si��rro........_�.4_...yeee <br /> ' Addition ............� . . .. ...................................... <br /> ... � <br /> ................................. <br /> . L <br /> Remarks .................. :��2;,�:�..5.:....2::'..... ....._.__....__............. <br /> .._. <br /> . .....�:../�iv:.:?' Q.a... <br /> ............. r ............._........................................._.............._... <br /> ...... .—.." +�....0�3........................................._..........----...................._.._ <br /> � ' ' - <br /> ..... . .................................. ...�.. ,.... ,� ................._.._._......_......... <br /> ..... . .. .... _ , <br /> .......:..... ................................... ../...J_..j�:./.�.�.�:.r....:G--...--•--.._........... <br /> �t�/�;.� Superintendent <br /> ��^1 <br /> I.ABOft AND MATERiAL USED <br /> No. Size I <br /> . ..,..,_„_„__,_,,,__......................... Lcad Connection Complate <br /> ...................................... Saddle Complete <br /> rl.r;...... . . . <br /> ......_.��..�i,....tt._._...< ........... ........._..::.....:,..r�....._:.....�............._............Pipe <br /> ....................................._.`�'.�...:........ Scrvice Cdck' <br /> ......._.................................. Service Box <br /> No. Hours Labor......................._.....................Cost.._.._.............._......................_... <br /> Cutin....................Pavement..............._...X..._.._......_....... ..........._...........S9.Ft. <br /> - ......._..........X..._.._.._.._.._... �� <br /> ......._.._.._..»... <br /> � ....................X.._.........._.._... �� <br /> ......._.._......_... <br /> ...................X................... �� <br /> ..... ......._............... <br /> Tota] ......._.._.._.......Sq.Ft. <br /> Remarks................................................•----.......................---......................._...... <br /> ..........................................................._.................................................._........... <br /> ....................... .............._...................._............................................................... <br /> OrderPeccived......................................................... ............�;................ <br /> _ J , . <br /> \�or}. Completed....:.:...............:-.. C� ' ........... <br /> . .....................1.......�. �..�c. <br /> ! F�reman <br /> l <br />