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w. o-�oA� �-/`�G � 3 �`' <br />CITY OF EVERETT..Water D�pt. <br />�����` � <br />-�PPtieaiaan No.. �.... �...`.... `.:.. Date. -;.::._.... <br />, .....�,�y .....................ls_..... <br />; _. Iastall ...............................inch water service pipe <br />_'�-�sc-,. -•� <br />, <br />_ <br />For ...:................_.::......... �� ,��� <br />/ , - �,,�-,�--,-,�-_ .:.:::.::............_.......................... �-- <br />�� , . <br />On .._:.- ......_r.''�"...::.�-7`.7G....%,'..:.: :.:.:._.C_ ................................ Street <br />Lot... ..................................................... . Block No............_........... <br />............. <br />Addition ........._--_-__ <br />Remarks ........ <br />� <br />......................... <br />.............................. _... <br />No. i Size <br />Superintendr,ni <br />LABOR AI�D MATERIAL USED <br />:.ead Connection Complete <br />Saddle Complete <br />................ ........ <br />Service Cock <br />Service Bux <br />No. Hours Labor .............................. <br />Cut in .............._....Pavement........_. <br />.................... X.... <br />.......................................... <br />................................ ........ <br />. ........................Sq. Ft. <br />. ........................ �� <br />........................ �� <br />....................n........................ n <br />........................ <br />Tatal ........................Sq. Ft. <br />— ---- --- <br />---_ <br />Rema rks .................................................................................. ........................ <br />....... ................... <br />� <br />irr� <br />OrderPeceived ........................................ ................................................. <br />lVorl: Covipleted ...................................................... <br />.................... ............ <br />Foreman <br />1 <br />