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�� i � � <br />. . � �p ���' : ' <br />W. �O. fOAM � <br />CITY OF EVERETT--Water Dept. <br />/ � I / r/ <br />Application Nd..�l. �. �. .... Date .:.............z..:_..k:.....................19.....� 7 <br />Install........:.�-.-••f��•• ��� inch water service pipe <br />i, . ; . ;i . L".• . . i _'`- ------....... <br />' �- �:::.�:..LS,:::`::.-a f .............�,....�..� � __. <br />For ....... ; �—� <br />' i �... .... �G�L,�'.:C::s.`_t_:G�(:'.. Stif¢t .. <br />On ..........................J../•-_� •� � _c%i:: i' <br />� . �� -�'/ Block No...... �-• � �- <br />Lot.'. j.._J:..........�..... ,....r...T-.��i "�. : ,� l:� , �_<t'r _/�....� <br />Addition <br />Remarks <br />...... S �. , - <br />r�/..� :,1...4! ..................................................... <br />. <br />�_ �...� ...........................71...,... <br />...:. � � <br />� :.. i<< � - � ................................ <br />...... <br />, .... - <br />....... <br />...,,`...;� ( �C. c �, �� .: r..=%� <br />f..._ .....:......................................_. (. j <br />. <br />............. .............. cermten�nt <br />...................�... . <br />. . .... .. � <br />V................................ . , � <br />� ' . :'i: , %n" . i'.—, <br />LABOR AND MATERIAL USED <br />.._. <br />................. _ ........ . <br />_ ............. :.ead Connection Complete <br />Saddle Complete <br />...................................................... ..............................PiPe <br />y�it�..�1�, ................... �... . . �....................... <br />..... .......... .. . <br />.............../._.....?/it-.............. S ce Cock <br />..... � � <br />_....... Service Box <br />- " I ..._� .............................................__.. <br />..... <br />�--- <br />..... <br />.........................._59. Ft. <br />No. Hours Labor ..............................................Cos ............. ........................ <br />Cut in ....................Pavement....................X........................ �� <br />....... _ ............... <br />�i/% Ce/j, f-'��' ..._ ...............X..........._........... ........................ �� <br />f........................ <br />�p ....................X........................ <br />.,�qc�c'cc5 nf�+,+-,.. Total ........................S9.Ft. <br />y � , i ��/- ✓ ,,,,,�_-n..,at„ _� <br />..... _ ....................... <br />.. ................. <br />Order Received ................................................ ����(� .................... <br />..�... K ................. / <br />\Vork Completed..i..��'i..c..lc..`,G ...............::.., . Foreman <br />