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_ . <br /> � _ l�o � Z �'p - - `���,r� <br /> w. o. ronw o <br /> CITY OF EVERET�'--Water Dept. <br /> � <br /> Application No....._.�GG/�L Date......,/..�.r....��!.............._.....19.� <br /> L Iastall_.......i�,.`.:..........inch water service pipe <br /> Fo�1_:�...�<.tc.��.�,k.k......�......................................................... <br /> ) <br /> On ..................�. .p.�............�r_ .f�'l��l�5:....................... Street <br /> L.ot..............�,'..�...�....�'.�.f..........----....... Block No..................................... <br /> Addition � <br /> .......................................................................................................... <br /> Remarks .............................................. <br /> .....................................----......--•---- <br /> ' ....,_'.Ll.:.���..... � <br /> .............._........ t�.�/ �'...........................................---......---- <br /> _. <br /> . .. .... <br /> ' `: � 7'��` ........--............._.................................------.... <br /> ............._ . . <br /> ...................... ........ <br /> � ,���-c � <br /> i � �`- <br /> .................................................................... ..� <br /> . . . .. ... <br /> .:....... ...:............. <br /> A ........--- <br /> eL(� <br /> . ...._........_..........................._............................,.........._.. ......��'.:^�`s <br /> � � /� Supe�inte ent/ <br /> ._ � C ����i_ E�" ��:.4'.'(-iC� <br /> LABOR AND MATEBI USED <br /> No. Size <br /> ...................................................... Lead Connection Complete <br /> ..................................................... Saddle Complete <br /> ...............:�....ft....:.�:.....:............... ........................................................................Pipe <br /> ........................:........:................... Scrvice Cock <br /> ......................::.......:..:.:.::.............. Service Box <br /> ...................................................... ................................................................................................................ <br /> �...........................�........................... ................................................................................................................ <br /> ............ ................................................................................................................ <br /> ......................... ..........................I ................................................................................................................. <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> .. ....................X........................ ......._............... �� <br /> � � ....................X......................_ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.F't. <br /> --- -- <br /> Remarks......1 r , <br /> .......�....:........:..:::.......................................................................... <br /> _.....................:........:..._......................_._......:.:............................_................... <br /> ............................:......:.:.:.:...:..................................................................�---....---�- <br /> OrderReceived............................................................................................... / <br /> �Vork Comnleted.?..::.�..::_�=...:i::................... ..':�:s.G:�..:,-;. .,..:.:......... % <br /> Foreman / <br /> 1 <br />