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w. o. ro�N o • � I /7 �� — 7 :> �'.r�� C)' <br /> CITY OF EVERETT--Water Dept. <br /> Application No....�..�.�.`.�5... Date...........,%...:_�.':..G:_�..........19..--- <br /> 7nstall...............................inch water service pipe <br /> For ............................................................_...........................................---........ <br /> On .........��.L.!.......JJt_ti_�.�,.� C�::�::..................................... Street <br /> . . <br /> Lot.............................................................. Block No.......---.............-•--�----.... : <br /> Addition ...... ................................................................................................. <br /> Remarks ........................................._....._............._ _...............-----......----�---- <br /> ..........................................................................................................�--�---•--••-�---� <br /> ..................................................................................................._................... <br /> ........................._..............................................J.....,�........ .��..-�---...._-----...... <br /> ............................................ .... <br /> ...................._�.../`'_:._�......_�L�:(............. <br /> Sup�rintendent � <br /> =�¢�(_c �-<.c.—c�� <br /> LABOR AND MATERIAL USED � <br /> No. ' Size <br /> . ........................................ Lead Connection Complete <br /> ....................................................... Saddle Complete <br /> ..................... <br /> ..ft............................ ........................................................................PiPe <br /> ...................................................... Service Cock <br /> .................... <br /> ......_......................... Scrvice Sox <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................59.Ft. <br /> ....................X........................ .----................... <br /> �� <br /> ....................X........................ ........................ <br /> �� <br /> „ <br /> ....................X........................ .....................-- <br /> Total ........................59.Ft. <br /> ------- <br /> Remarks...................................... ................................................................... <br /> ......................................................................................................................... <br /> ............................................................................................................................. l <br /> lyderReceiced.......................... - ........................................_..._.............._... <br /> :, \Vork Completed.............................................................._...............___...... <br /> � � � Foreman <br />