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w. o. ro�w a.�I fII �� •' '' .��_y ` � <br /> CITY OF EVERETT--Water Dept. <br /> ,, _. ., -. <br /> Application No._!..�:.1...:r�.... Date......._�::.:.-.!.........................19_�'-�' <br /> Install...............................inch water service pipe <br /> For ...........................:.... .................................................................................. <br /> . <br /> . , �_ ^ <br /> On .....F•.:-1.t:......:....:�'...;:t:::..:......n._�i._�:-.�.�.......................... Street <br /> Lot.............................................................. Block No.......--••---..............--�---•• <br /> Addition .......................................................................................................... <br /> Remarks ...............................••-•---.....---...........---�--....................._.................... <br /> ............................................................................................................................. <br /> ..............................................�---......................................................_.........----...... <br /> ..............................................................................._......................................._... <br /> ............................................................................................�--..........---�--......----.. <br /> Superintendent <br /> LABOR AND MATER�.1L IISED <br /> No. Size <br /> ................._................................... :.ead Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................tt._......................... ........................................................................Pipe <br /> ..................................................... 5crvice Cock <br /> ...................................................... Scrvice Box <br /> ......... ...�y_............................... ..............................................................._.............._.._........................_. <br /> ..... ,n . . . <br /> �......._.. .--_�!.....�........ ..............................................................................._........................... <br /> ........¢......_.. . ..........................................._............................................................... <br /> ...../..�._- .. >...-...�...,}�.. ............................................................................................................... <br /> No. Hours Labor..............................................Cost................................................... <br /> Cutin....................Pavemcnt....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> Total ...._..................Sq.Ft. <br /> — --- <br /> Remarks............................................................................................................. <br /> Order.Received......................................................................... .. ....._....- / <br /> \Vork Campleted......................................................................................... .. <br /> Foreman <br />