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p � _ r <br /> S J.Pri�+Le4�93�� .. <br /> W.U.Form] <br /> I EVERETT--Water Dept. <br /> Application No...................:.... Date..............:.................................19..._. <br /> Install................................inch water service pipe <br /> Por ........... .......... . ..................................... ....................... .................... <br /> On ...:............................... ........................................ <br /> ........................... Street <br /> Lot.............................................................. Block No.......................--��--�--�•-�- <br /> Addition ............................ .�-.........................................................._............. <br /> Remarks .........--...................... <br /> ..................................................�-•- .........-�--.. <br /> .......................................................................................................................... <br /> ............_........................................------.........- ......... - - .._....---.....-----....._ <br /> .... .......................�---- <br /> Superintendent <br /> ......'--.........---.................................... <br /> LABOR AND hiATGRIAL USED <br /> No. � Size ----.-- <br /> Lead Connection Complete <br /> .. . . ..... ......./-�.__........ Saddle Complete <br /> ..............,.............. ; . <br /> i.; .;� ft.. "�" � _....._....__.........:.............................................Pipe <br /> . . ..........:............. <br /> .................... . . . <br /> ......_.............................._........_.... Service Cock <br /> .......................... Seivice Sox <br /> ............................ . <br /> No. Hours Labor..............................................Cost............................................. .. <br /> .. <br /> Cutin....................Pavement....................X........................ ........................S9.Ft. <br /> .— �,� � ....................Y........................ ......................_ ,� <br /> - " ' _ <br /> �, ��- ,...� ....................X......................_ �, <br /> : �_r� ...................X........................ ........................ <br /> � . Total ........................Sq.Ft. <br /> --Remarks... .................................................................................. <br /> ...................................................................... •-....... . ._........................... <br /> ........................................................................................................................ <br /> OrderReceived........................... -.......................................�....................... ' <br /> � l�/ _ y � r �,`I(o.1+?:Q.-. ............... � <br /> Foreman <br /> \7ork Comple.ed..�..'.._....._.......7..._�. ..i.. <br />