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W. O. (OFM ]/���� � ��/'-'� <br /> CITY OF EVERETT--�Jater Dept. <br /> Application No.L�..�.J�`:S_ Date._.X�;-�+ . � .. lg"`, <br /> � . <br /> , Install.:.���.��...�......inc�water service pipe <br /> � . <br /> For ....._� �Lf�,: . !�:-c;c-f�;��A� <br /> ........ .. ............................. <br /> �- /,5 � _,rY� ' .............. <br /> On ' ..._....r.r.�:r.:.:.t.:k.::..�<3;Y� �i_:.....---.__.. St:eet <br /> ............................ <br /> ...... <br /> < <br /> Lot.......................�..�........ .. ...... Block No......�............................ <br /> ..... . <br /> .... <br /> :?d�iition ............ � �...r..�..�....�L....�..��....,�................................................ <br /> � Remarks ......................................................................................................... <br /> �Q�y...............�� . _ �.. .. .. . <br /> - .......�...�-(j' . . <br /> ��J - ' ..Ll.. ........_............................................................... <br /> ....................... <br /> �� ���....'.. ............. <br /> r . .......................... <br /> . ,;1?.....�..--......._. �LY� u>+ �� <br /> .........._........... .._ <br /> . .._ ......... . ....�._... ..-•----.... <br /> . . .. <br /> ............ <br /> � / _ � <br /> .c............... G`-i ,. �t �� <br /> �I� .............. ...........t�...... .t...X.� ,L...<�...._re� � <br /> __ .. ....... � P . ..." <br /> " . �1.. .��� �'"�a�c- ' Su e ' ten n� <br /> �— <br /> LABOR AND MATERIAL USED <br /> ---- �" <br /> i Size � <br /> ����-������-o�����-����I Lead C.mnection Complete <br /> .................................._..................� Saddle Complete <br /> .......................ft............................ ........................................................................Pipe <br /> ..................................................... Scrvice Cocic <br /> . ...................................................... Scrvice Box <br /> No. Hour� L�bor..............................................Cosl..................... <br /> ............................... <br /> Cutin....................Pavement....................X......................_ ............_Sq.Ft. <br /> ........... <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ..................... .. <br /> Total . ...................Sq.Ft. <br /> ----- — 7�-- — <br /> R e m a rks.........:I..........:...�. .. .........:. . <br /> ._....................._..................................... <br /> .................................................................................. <br /> .............. .......::_.......:�.�.:..:..:..�........--...... <br /> ................................................... <br /> OrderN_•ceiced............................................................................................... <br /> �Vork Completed................................................ � <br /> ...................................... .. � <br /> Foreman <br />