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i <br /> • 4 w I ���0 • � ( � <br /> W. 0. IMM .l �- ,'J���:�'�� <br /> CITY OF EVERETT--Water Dept. <br /> Application No.....�!�.�I...Y..Q... Date...............:.�.>....-.�.:�a....`f............19...... <br /> Install...............................inch water service pipe <br /> For ................................................................................................................... <br /> On ...................._.-�.�.._...�/..............CJ.P_.G...�.E:�:.....�.,......------�•---. Street <br /> Lot.............................................................. Block No.......................----.......... <br /> Addition .......................................................................................................... <br /> Remarks . ........ .. . . . . .. <br /> . .. <br /> ................................................................................. <br /> ./�! � <br /> ....................... ............---�--.. ......................................................--�-�------... <br /> ......................................................................................................................�---... <br /> ..............................................................""'........................... .... .....1....._.._....." <br /> ....................... .............................................................._"... .�.: .i:��:��:ti�,l..... <br /> Superintendeht <br /> �'�ir <br /> r <br /> � LABOR AND MATERIAL USSD <br /> No. Sixe <br /> .... ........................................... :..ead Connection Complete <br /> ..................._................................. Saddle Complete <br /> ......................St............................ ........................................................................Pipe <br /> ...................................................... Service Cock <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 /> Rema rks............................................................................................................. <br /> ......................................................................................................................... <br /> ............................................................�--�--.........................................-�------......... <br /> OrderReceived.............................................................................................. / <br /> \Vork Completed.......................................................................... ........ ....... � <br /> Foreman <br />