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� i,✓.._ -^. �- <br /> ^ ] A9eb�iN7.1639� ! ( � ` �r! /-, � f ^`� <br /> w.o.e�� <br /> CITY aF EVERETT--Water Dept. <br /> A ]ication No................_. Date....:�. ........ y, ��� <br /> PP � � 7�...... .�...:..:..._:.......�....? 19...... <br /> �, . <br /> Install......... .��...............inch weter service pipe <br /> • ............. <br /> or ..............p....�................ ....................... . <br /> ......................................... <br /> on ............/..�)../../........... <br /> ....._:�`:.�._:_.: ............................................ Street <br /> Lot.............................................................. Block No..............................---.... <br /> Add.,. <br /> ���on ...............�....................................................................................... <br /> Re arlcs �-�" e'�.�.,,�-R..� n.- i "-"C-- ..........: <br /> ............................................._......_.......---..............._.._..... <br /> �:� <br /> �:.:......:�:...:1_:.' . :...:s�..r............ ��....�-.C..i_:..t�.tc._t <br /> ,.:�.R,-.........3�!:. .......... <br /> .,� <br /> !. ............._`.. ....._�............................ . _ -•.._....._... <br /> ..... � . � 1 � <br /> ............ J��----��.r;.�c<._.��...�,., <br /> ......._......... . ........:........... ............................... J'�d... <br /> ..................�::...:. �'1+.r..:......................................._Q.../l.:.....:t�...�.�-�,!�. <br /> / <br /> .......... <br /> �� BuperintendenE <br /> LABOR AND MATEBIAL DBBU <br /> No. I Size �__ <br /> ...................... ...........................� I.ead Connection Complete <br /> .......................................4............ <br /> j Saddle Complete <br /> ........:iS.........tt..........._�%Y.......... ..........................................���lr:....�":...........Pipe <br /> ...................................................... Service Cock <br /> ........................... <br /> ........................... Service Box <br /> ...................................................... ................................................................................................................ <br /> No. fiours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �. <br /> ........................ <br /> ...................X........................ �. <br /> ........................ <br /> ....................X........................ ........................ <br /> ,� <br /> Tatal ........................Sq.Ft. <br /> =-s==---— -- --- <br /> Remarks............................................................................................................. <br /> .....................................................................................................................•-•- <br /> .............................................................................................................................. <br /> Order Received.........:.............._.<.. ........_........ <br /> . ..... ...... <br /> :=� r��ro ,/�t i'Yi.��',.j'....... .. � <br /> \�ork Completed................................................-:........................................ <br /> Foreman <br />