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6 J. N�l ' ��� '� � � <br /> K'. D. 10NM J ' <br /> CITY OF EVERETT--Water Dept. <br /> Application No...:...'................. Date.........._................................_-.19`..... <br /> install......:_.....:................inch water service pipe <br /> For ..................................................................._......................-•----................... <br /> On ............_'..:..::..:....:..:::.....:...-:........:...................................---......... Street <br /> LoL._..........................._...............---�------ Block Nc ..---.......-----.................. <br /> Addition ............... ......................................................................................... <br /> � <br /> F.em�slt� ..............�..................................................... ................................... <br /> .........._..................................................................-�---------...................--... <br /> _............._......................... --............................................................._...------ <br /> ._.. ..--•................................-................................._........... ....................... <br /> - ...............................................................................................- ......---........ , <br /> � Superinte.�dent <br /> LABOR, AND MATCRIAL USED <br /> Nn. Size i <br /> —'---. <br /> ...............................................__...� Lead Connection Comp:ete <br /> ...................................................... Saddle Complele <br /> . ....................f L........................... ........................................................................Pipe <br /> .._.................._............................. Scrvice Cock <br /> .....................................__...,......... Scrvice Dox <br /> No. Hours LaUor..............................................Cost.................................................... <br /> Cut in....................PavemcnL._................X......._............... <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ...................X..............._....... �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ------- --- <br /> Reinarlcs...................................................................................................---...... <br /> ��_ � .\ / .�,� <br /> . <br /> : ' 1 `- <br /> . ......................{..,........................._........... <br /> .....�. <br /> ;T / ^N / , _ ......................................... <br /> ' _ � ,' " ' <br /> . <br /> ...c.............�......::..._......:.....::._..........�:..... ............................................... <br /> OrderPeceived............................................................................................... <br /> �Gurk Completed......................................_........__...._....................._......_. _. ,,, <br /> Foreman [ <br /> �� <br />