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r <br /> �.�{/� ? / �/ ✓ ✓ <br /> a. �~nci�ne '� f � t .t���•"� �17�5 / / � <br /> w. o. r•aM a — , <br /> CITY OF EVERETT--Wat�r Dept. <br /> : U.n-_s. / C" �, �"'.I; i !;;^., , <br /> a4PPIt�alaer� No.1.�..C'..�.... Date.........._..........._.... . ..........19...... <br /> . . ..... . <br /> Tnstall.........,.-. inch water sezvice pipe <br /> )................ <br /> �(L_ t�.ci� � �-�.:..1'i:..:.-.. '::�. ., <br /> For .......................................... . ..... ........... <br /> Cn ..........r.�:����.......�..�'!Lft c c-.-rt...�... .: "........,.._.. Street <br /> LS'.:�� � .... Block No.................................... <br /> Lot..................r...-^ ...... -....._....... <br /> Addition ....._..._............................................................... / <br /> Reme.r}:s ........-----............................................................ ' <br /> ................................ <br /> _._..._......._........................................................................................................... <br /> : ........................._.........................._--...................................................._.............. <br /> ._.......__.............................._....................._......................................_............. <br /> Superintendent <br /> I.ASOR ANll i�lATGRIAL USED <br /> --No._.! Size -- _ -- <br /> —__ <br /> .........................�........_..........._...i Lead Cormection ComPlete <br /> .............._..................._.................. Saddle Complete <br /> .........__.........ft.......................__. ........_......._...._............_.................................Pipe <br /> ...................................................... Scrvice Cock <br /> ....................................._............... Service Box <br /> Nu. ftours Labor..............................................Cost................................................... <br /> Cutin........._....._..Pavement_..................X.._......._........... ......_................S4.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ �� <br /> ....................X........................ „ <br /> Total ........................Sq.Ft. <br /> — ----- --- <br /> P,e m a r ks....................................................... ....................:................................ <br /> � <br />� ................_......._................................... ._._..........................-- .............. <br /> �. <br /> , r.� <br /> . . ......................................................................................._..-�-�-----�--........................ <br /> OrderEeceiced........- ......................................_._.................._..........._..... .. I/ <br /> \Vork Completed......................................._ __.... � <br /> : __...._._............ ... _.. . <br /> Foretim J <br /> � <br /> �� <br />