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.� w. o. ronM a _ '�/�� _ ._ T/"J��' `r � (3%. <br /> CITY OF EVERETT--Water Dept. <br /> Applicat:on No...�.T�.�.��... Date........r�_" � ...............19...... , <br /> _i.-...._�.l <br /> Install...............................inch water service pipe <br /> For ................................................ . <br /> .................................................................. <br /> On .............��..L�....��'.�-`�-�j��-`c�-...........................---.. Street <br /> Lo t............................................._� <br /> ............. Block No.....---�----�--.................... <br /> Addition .................................................................................................. ...... : <br /> Remarks ......................................................... , <br /> ......----........---•---.............�-�-�� <br /> ..................................................................... ...................._.---......----•------- <br /> ........................................................................................................................... <br /> ........... .......................... ............................................. ........� <br /> .. <br /> , i <br /> ..........- ----..... <br /> ...........................................__...--....................... ............... .:.._-<�.c.£.l..-/-.--....... <br /> Supe�intef�dent <br /> — ��_c,.-t.t-. <br /> LABOR AND MATERIAL UStiD � <br /> _No. �ize � <br /> .....................................................`Lead Connection Complete <br /> ........................._�...........................I Saddle Comple[e <br /> .......................ft............................ ................................................---.....................Pipe <br /> ...................................................... Service Cock <br /> ............................................:......... Service Boz <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> . � Total ........................Sq.Ft. <br /> Rem a r ks...... .... ........ ................... ........ ...... .................................. <br /> .... ............. .. . ....... .......................... .. ...... ..... ..............••---.... <br /> ,� <br /> { y: 5 <br /> ........................................"""""""... <br /> , ' Order Receiaed.................... .. ..............._.................................................... <br /> " Nork Cotnp]eted......_.... ........ ........................ .... <br /> .......................... <br /> Foreman <br />