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_- - //1'���" ' �� � ✓ <br />� T <br />w. o. rowH a , . . � - <br />CITY OF EVERET'l --��Jater Dept. <br />� - �_ <br />� ��� <br />Apg]ica6ien ATo..,L .::.:.....:....'.... Date.........._ ..............................19...... <br />T�stall .............................. .inch water service pipe <br />,, / <br />For....[- ..:...................._..:...---.................... .............................................. <br />, <br />�___ -- ._...,. <br />On .......:.C:.-` :--t—=' , .:. • .......... ..... Street <br />_. ,._ , <br />Lot_ ..............:.:..::.........:.:...._.................._. Block No.......----------............._.-- <br />Addition... - .. ...... ...........................-......................................................... <br />Remarks...................................................----- .....................---..........------- <br />......, .. . ............. .. . ... ............. ...... . ...... . ........................... .................•--• <br />, , �• � � <br />,� � <br />...... :.: .. ..... /.... ............. . .......... . . . ...... .......... .. ....... <br />, G , <br />....... : - :. ..... .......................................................�---- <br />.... ......... ..... r ... . ... ........ ...... . . .. ..... ...................... <br />Superintendent <br />LABOR AN'D 111AT6RIAL USED <br />No. � Sizc I , <br />- -T <br />........................... __......._........... I Lead Connection Complete <br />....................................._............._i Saddle Complete <br />.......................ft.............._.........._' ......_.........---..........._.......................................Pipe <br />........................... ............. ......... <br />Scrvicc Cock <br />.................................... Service Box <br />. _ .......................... _...----. _.. _.. I <br />No. Hours L�bor ..............................................Coat.................................................... <br />Cltin ....................Pavetncnt....................X........................ ........................S9.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................ii........................ „ <br />........................ <br />1'otal ........................Sq. Ft. <br />------'-- <br />Remarks............................................... ................. ........................................ <br />_ ..........._ ... ............ _......._..._....... ... . .................................. -�- -- .................. <br />............. .... ............... . ..................................... ........................................ i <br />OrdcrReceioed ........................._................................_......... --..........._ ... <br />\Vorlc Completed..._._ .................................. _._....._.........................__........ <br />Foreman <br />