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- -���o? , <br />�� <br />w. u. roun v ��/ /' . � / <br />7� �.. <br />CITY OF EVERETT--Water �'eat� <br /><<-�_�� . r,:„r �;;;" <br />�rpp3ieation No.��:�: ?...�.. Date ..............1.......:_` ..................19...... <br />�_I:ista116......., .............. ....inch water service pipe <br />For .� ..�:......?� �7.�-.%.t.t_`—�rL�z ...._ .................... <br />A.... .. ... . . <br />. .. . <br />. ..... . .. . <br />on ......,..7.r..�:....._�f <'z.'-/.,-,..�:'?���.: ��IZ-.�.�' ................ Street <br />Lot....................,::..:.t.:.:........:....:.....:.---::._. Block`No............_.......---------•--- <br />Addition ........................... <br />__ ................................ - ................_._............... <br />Remarks ....._.. ...- - <br />---- .......................... .......... . <br />................. ....... ........ ._..... - <br />� <br />-- ........._ ................................._..................-- •�------- <br />Superintendent <br />LiSOR AND 11tA1'ERIAL USED <br />No. i Size I <br />Lcad Connection Complete <br />Saddle Complete <br />...................I Scrvicc Cock. <br />Service IIox <br />---....._ ............ ....................... <br />........................................._........ _. -----. <br />No. Aours Labor ...............__...---�---............_.Cost......................................_...._...... <br />Cut in ....................Pavement....................X........................ <br />........................Sq. Ft. <br />....................X.......................' ,� <br />........................ <br />....................X........................ .. <br />........................ <br />....................X........................ ........................ .� <br />Total ........................Sq. Ft. <br />— -------- -- <br />— — _-- <br />fiema rks .................... ........................................................................ <br />_ . ........ ......................... _........................................... _.....................................--- <br />. ...... . .. ..... ..................... ..... ....... .. ... . ..... . .... ... .. ...................... l <br />OrderReceived ......................................... ................................... <br />.................. <br />\Vork Campleted ..............................................._.__...................._-........... <br />Foreman <br />