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S J.ikieLe�M7.IG�' T .� '� <br />W. U. Fa:m J " <br />CITY OE EVERETT--Water Dept. <br />: ; - ,� �-- , , �-, <br />Applicatian No ......................... Date....................�-:'.......:....:.... ---.-19...... <br />Install ................................ini'i waler service pipe <br />For..................... <br />On...................<. <br />Addition ........ <br />..... _::..� ..................... n--. -........................ <br />•- : i <br />......::....:..:......:....._f.'....................... Street <br />/ <br />...:......... FSlock No.....--�-------- <br />Remarks......................................................... <br />................................•--�- <br />..........__�� ..................... ..............................._.,/ --`i -.......... <br />. ...,1 . ............._•--••---�--.......... <br />' ._,"-' : .. '. <br />........... _....e...... ,. _ r' ...:.:::.:... _...........----...... .......................... -----.............. _ _....... <br />LABOR AND MA7ERIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />................. ... .... <br />Service Cock <br />Szrvicc Box <br />No. Hours Labor .............................. <br />Cut in._..._........._Pavemenl....... _. <br />Superintendent <br />...........Pipe <br />� <br />� <br />............................ ...... <br />........................Sq. Ft. <br />....................x........................ �� <br />........................ <br />....................X........................ �, <br />.............. .......... <br />Total ................. Sq. Ft. <br />---�' _�-- ------ � <br />._ -----�_— --- <br />Rem:.rks.... '...' .:.:....................::.. <br />................. _..............__......:...-. `-.-.--...... .. <br />� <br />Order Pecei��ed ......................_.-- .._......................._................ <br />.................. <br />li'ork Ccmpleted- - ........_ ........................._............_,L...............i..`::..... . <br />Foreman <br />