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w. a :o�. , -/G�99 - � �f -�;,s, � <br /> CITY OF EVERETT--Water Dept. <br /> Application No...�(a'jf.`1.... Date.............:'..:1..-.��..`/......----..19...... <br /> Install...............................inch water service pipe <br /> For ...........................................,.�.J....................................................................... <br /> On ....................:3.4..�,1...........f:x:,.�.z....�:'2-�---.................----... Street <br /> Lot.........................................:.................... Block No..................................... <br /> Addition ......................................... ............................................................... <br /> Remarks ......,�..............•-•�--�-•---...................................._......_..................... <br /> rl/n.�- <br /> ................................................................................................................�--.......... <br /> ......................................................................................................................�--••- <br /> ��- --••-,---........ <br /> ..........................................................................................�--...... <br /> l� �:.'�.::�,f. <br /> ..........................................................�--.......................................... <br /> Superintende <br /> .�/I/�, <br /> LABOR GND MATERIAL U9ED <br /> No. Size _ <br /> .... ............................................ :.ead Connection Complete <br /> ......................._............................. Saddle Complete <br /> ......................it........................... .......................................................................Pipe <br /> .._................................................. Service Ceck <br /> .................._........................,......... Service Box <br /> No. Hours Labor..............................................Cost................................................... <br /> Cutin....................Pavement...................X........................ ........................Sq.Ft. � <br /> ....................X........................ .� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — ---- <br /> Remarks............................................................................................................-- <br /> ......................................................................................................................... , <br /> ................................................................................................................_........... < <br /> OrderReceiced............................................................................................... <br /> \Vork Completed............................................................................................ <br /> Foreman <br />