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--- - /6�,� - � <br /> w. o. roww � _.' -i� ���� <br /> CITY OF EVERETT--Water Dept. <br /> Application n�o..t.�l:��(._l', Date........:_�'. : � � c . <br /> - ............................13...::: � <br /> I:�stall...............................inch wa±er service pipe <br /> For .......................... <br /> .......�................................................................ ....... ........... <br /> On _....../..E....`.�. �lZ,-;c,��:r�c�„„ •Street � <br /> ............................. <br /> Lot............................................................ Block No...................---............... <br /> Addition .......................................................................................................... <br /> Remarks .............................................................................. <br /> .......-�................... <br /> ............................ ........................................................................................ <br /> ....................................................................:........................................................ <br /> ............................... ....................................................................................... <br /> ............................................_.._.............................................. ..._.....----�•------�- <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. ' Size I <br /> ...................................................... :,ead Connection Coc�nlete <br /> ...................................................... Saddlc Complete <br /> .......................f t............................ ........................................................................PiPc <br /> ...................................................... Service Cock <br /> ...................................................... Ser�ice Box <br /> No. Hours Lauor..............................................Cosl.................................................... <br /> Cutin...................Pavement....................X........................ ........................59.h't. <br /> ....................X..._.................... ,� <br /> ........................ <br /> ....................X........................ �. <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -------�-_ <br /> Re�n a r ks............................................................................................................ <br /> .................................................................................................... ............... <br /> ...................................�---................................................................................... <br /> OrderReceived............................................................................................... <br /> �Vork Completed............................................_..... -..............._..............._.. <br /> Foreman <br />