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- ./6�l.� � - � �� <br /> w. o, ro�w a �. 1�/-�..1_ <br /> CITY OF EVERETT--Water Dept. <br /> Application No.._l�:...:'..!.'... Daite........'.....:..............................19�..`� <br /> Tnstal] ..............................inch water servicc pipe <br /> or ..............................>. <br /> ................................................................................... <br /> _ �-- . i <br /> On ��'.�:�......c:^:::,:.�:�:':= ..c.C._'.;:�_,.:�...:............................ Street <br /> ......... <br /> Lot.............................................................. Block No..................................... <br /> Addition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> ..... ...._:.......................�..................----............................................................ <br /> Y .......... <br /> . ............................ <br /> .�!�............�r...,.f,..`............................................... <br /> .......L..................................a'---.....................................................-----............_... <br /> / �i -' � � .......................... <br /> . ........................ '-.P...""...-"'......... <br /> ....�...y...�. °•......... ........... Su erintendent <br /> LABOR AND MATERIAL CSED <br /> No. Size <br /> ......................................... :.ead Connection Complete <br /> ...................................................... Saddle ComPlete <br /> ......................St.. .............. ........................................................................PiPe <br /> ............ <br /> ...................................................... Serv�ce Cock <br /> ............................ <br /> .......................... Service Box � <br /> ............ <br /> ..................._._�.............. <br /> ............ ................................................................................................................. <br /> No. Hours L-,bor..............................................Cost............. ................................... <br /> Cutin....................Pavement....................X........................ ........................59.Ft. <br /> ....................X........................ ........................ �� <br /> ....................X........................ ........................ <br /> �, <br /> ....................X........................ ........................ <br /> �� <br /> Total ........................Sq.Ft. <br /> --- <br /> Remar ............. <br /> ................................................................................................ <br /> ......................................................................................................................... � <br /> ......................................................�--.............................................................----.... <br /> OrderReceiced............................................................................................... <br /> 1VorkCompleted..................................................................................... ...... <br /> Foreman <br />