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� G C <br /> 5 J�Prie6elM']d62 ti � •. � � <br /> W.U.cerra J . . � . <br /> CITY OF EVERETT--�Xlater Dept. <br /> Application No............. ......... iJate................................................19...... <br /> Install................................inch water service pipe <br /> For ...... -- ............ <br /> .................................................. ............................... <br /> Gn ..... ...........................:......... --..............__..._............................ Street <br /> Lot................._... ...........___........._.......... Block No................:......---......... <br /> Addition ............................................... ........... .......................................... <br /> Remarks ............_..........._....................................__..............----�-- .............. <br /> ........................_-•...........-- ....---- .................................................----...........--- <br /> �....._."'lr._�......................................................................................................... <br /> � � � �. <br /> �...............t..'...:..................................---��---................................. <br /> "-"---......... <br /> '-'-- -�-c�':_.:....-.......................---:...... <br /> ... - . <br /> _. - . ,................. ......................."" <br /> " �=' ''� � ' � Superintendent � � --- <br /> LABOR AND hiATERIAL USED <br /> No. Size i <br /> ------ <br /> ...............•'---................_................I Lcad Connection Complete <br /> ......................................................� Saddle Complete <br /> � ......... .............ft............................ ........................................................................PiPe <br /> ._............-..................................... Service Cock <br /> ...................................................... Service Box <br /> No. Huurs Lnbor..............................................Cost.................................................... <br /> Cutin....................Pavement........_.._...._X............._......._ . ....Sq.Ft. <br /> ................... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ ,. <br /> ....................Y.. <br /> ....................... ........................ .� <br /> Tatal ...........--.........Sq.Ft. <br /> Remarks.��........,::T.-. .^------ <br /> . f........................................................................ <br /> i . <br /> _ ti <br /> .............................................................................................................. ..... <br /> Order Received.......................................... - ....................:. . <br /> .................. -- <br /> \Vork Completed.................................:::...............:.r::..:............ .......:_.i.. <br /> Foreman <br />