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_ U <br /> _ .,/G�7�Z - �- � ,__.r� � ; <br /> w. o. .o� , <br /> CITY OF EVERETT--Water Dept. <br /> f� .. <br /> � - .� —/.......................�s.�:� <br /> Application No.. ......./...f-�.. Date.........-._.�cfi WBter service pipe <br /> Install.............................. <br /> For ........._....................... <br /> ................................ <br /> ._........................._.................. Street <br /> .._�./.l �' � , , . 5 - , <br /> , <br /> r'� •--.... :�.:a.......i:t............................. <br /> On ... ......_....................... <br /> � Lot....................................................._....... Block No..................................... <br /> Addition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> ......................................................................... <br /> ..................................................................•-••--.. <br /> ... ................. <br /> .................................. <br /> ............................................................_Super intendent <br /> LABOR AND MATERIAL USED <br /> No. Size � __�-- <br /> :.ead Connection Complete <br /> ...................................................... Saddle ComPlete <br /> ...................................................... <br /> ..1i.. .. ................................................................PiPe <br /> ......................... . <br /> .................... . <br /> ............................ <br /> ................. Service Cock <br /> ........ Secv':= Box <br /> .......�............... ._.__................I .._..........._......_.._.........._......_.........._..........._._.....__._._..................... <br /> ........................... <br /> No. Hours Labor..............................................Cost................................................... <br /> ........................59.Ft. <br /> Cut in....................Pavement....................X........................ �� <br /> ......._............... <br /> .................... ........................ �, <br /> .................... <br /> .......... <br /> ........................ <br /> ....................X........................ <br /> ........................ .� <br /> Total ........................Sq.Ft. <br /> �'--'--- — .. <br /> ........................................................... <br /> Remarks.................................................. ' <br /> .......................................................... <br /> .......... <br /> � ...................................................... <br /> Order Received........................................ <br /> ............ <br /> \Vork ComF =ted..................................................... ....................Foreman <br />