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s ,. r���o. " ' <br />vi. �. eo 9 . ' -- - <br />CITY OF EVERETT--WateT Dept. <br />q 1 1 � r1 :.'� <br />Application No... �........(......... Date...........asl.�'�:.'_'._ ...:.........19...... � <br />Install........_!.1..?-�........iinch,wat�,�er service pipe <br />For ..................................... -,--................................--...........-- <br />. Y.� ..................-'<. <br />On ........�1..�a...1._�... -'`-�::.f.:::!::..�.....'::..'.- ....................--......--. Street <br />, J"... <br />Lot..................a.� .............................. B��k No.........r.,_�_�..._........... <br />naa�t�on .........._ ............................................................................�-•--............. <br />Remarks .....il.�r.:::::::.'..:i::::,:_r., r <br />..,.y,._ ....................................�--......---........... <br />/ � 1 . l I _ �Y n Y�J it . l i', . . � �. •. � r _ .. � r t- <br />i <br />LABOR AND MATERiAL DSED <br />Size <br />Lead Conncetion Complate <br />Sadd�e CCo�npletp� � ��� <br />��1..........._�. ,. _i!_G'�..........Pipe <br />. ............ .......:.�.. . . . . . . <br />Service Cock �,- � <br />Scrvice Box <br />'\u. Hours Labor ............................. <br />Cut in ....................Pavement........... <br />........................Sq. Ft. <br />......._ ............... .� <br />....................X....................... ........................ �. <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />-- ---'----� �r , _ ' <br />Remarks... �.::-.....�L.�,'.t�....:.... f..�L�....._ .......... ............................................. <br />..._ ..................�...............................�......._...........--•-� ------ <br />• <br />; <br />�% r'i <br />, <br />.....................................................:................:...........:.:..:...............1:........ .. <br />, . �., -- <br />Order Recrived ...................... <br />R'ork Complcted ................... <br />� <br />................_ <br />..........._.... \ <br />Foreman <br />