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M/� Ei `" `� <br />W�D EubrmjM5ah19�5 5{� �' <br />CITY 4F EVERETT--Wa�r Dept. <br />A lication No......:. � � ; : <br />PP.............:... Date.................._...:..'.....................19.:.... <br />' Install...... ::..:' ..................inch water service pipe <br />, � , <br />� .:.................._.............:.:......�............................... <br />For ...................................... <br />On..........:...:._..i..:.....................:.....:.......:.:._.:................._....----........ Street <br />T.nt_ - -- - .............................__... Block No..............._.............---- <br />Adc3iti�n .............................................................................................. <br />Remarks...........:.:...............................................:..:........................... ` <br />� - .. � <br />...1.....:_.... - -.. �. '. �J..1.:..? ...:.................................p....----'_•--'-"' <br />� - � i � � Su erintendent <br />............ .� <br />) . <br />� %� � / <br />LABOR AND MATERIAL IISED <br />No. Size I — <br />....................... ... ........................... I <br />Lead ConneMion Complete <br />..........._ ................................. Saddle Compl e � . <br />�....... <br />........,''� ft........._�:�f ....... ..............::.^..:- ... .:.. ................................Pipe <br />. �........... � <br />. :' <br />.......................................... �....... Scrvice C . : <br />.._i_...__._ ............... Servicc Box <br />..........................I...........................I .......... <br />-------.........._ . .......... <br />No. FIours Labor .............................................Cost.................................................... <br />Cutin ....................Pa��ement....................X........................ ........................Sq. Ft. <br />...................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />--�--- ---- <br />Fmm � rks....._'_............. .................................................................................. _. <br />L�' � 1 , � <br />� � ................... . . ..................................................................... <br />............................�. .. <br />1 . ) <br />� ._ . . <br />..................i..........................�..�.............................................................................. <br />OrderReceiced.......,..,_. ..............................'C..........1_,.�...,,....,............� <br />� ,' • . .� <br />\�'ork Compleled.:a :.....::.....:....:.'....::.....::1�_:....._!.�...�..C.�...:.......:.......:...:: � <br />Foreman <br />,� <br />