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e � �.rt¢�r��O� � �� �� L' Ua1 � <br /> w. . ronH � <br /> CITY OF EVERETT--Water Dept. <br /> ; p <br /> Application No......_�zQ.�.���.j... D te.........................c?.. ...`5........19.'�...C....3 <br /> Ins�all..... ...� �� .r inch water service pipe - <br /> .... .. . <br /> ' �/ . <br /> For ......................:..... ............. . . .:: .�.1.�................... <br /> . � �� ........-_...................... <br /> On ............................_�."�G.�.....�.:... .�..h.�c'x�.1.................... Street <br /> Lot..-........................_................._............ Block No.................-----._..._...... <br /> Adclition ...................... . ' � <br /> ��..............................................................1.......--•- <br /> r . /LP��.r—t_�Z�� — <br /> :.emaiks .....................................................................��`..'»cl?�:....r:.�._�J <br /> ...................................................................•---...............---.........._........--�-.......... <br /> ............................�--................................................................... •, <br /> /i <br /> . �.....l�yr...... . ' <br /> �C. . � r <br /> ................................................................ . ........ ."""..............._.._: �G,�..�.. <br /> ...................... <br /> Superin4:nden��- <br /> LABOR AND MATERIAL UbED <br /> _No._ Size � <br /> ...................................................... Lead Connection Complete <br /> ..................................�................... � dle Complete <br /> ..a <br /> �-, � <br /> ...................:..� Scr� .�. ,� , � . . Pi e <br /> tt._.........�............. _..:.... <br /> t__.:............................................... p <br /> ..................... ..........���............ vice'Cock <br /> ...................................................... S�rvicc Box <br /> .............�....................................... ...............................................�............................................................... <br /> .......................... .._.......................I ............................................_.................................................................. <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cut in....................Paacment....................X......._............... <br /> ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X....................... �� <br /> ........................ <br /> ....................X........................ ., <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---------------�-- —�� — <br /> Remarks..............._............::.1�:a.-::......_r...::._:. —: �.�:.i vt.:�.. <br /> ... ......'. ............ <br /> ... ..........................................�.:�.:L...�:...._..1:t.L.G:...._..,...r11.4.L4................ <br /> ..........................................................................................................""'................ <br /> OrderPeceived..............................................�...r......................................._ / <br /> \4'or�_ Completed....::�:.:.%.:'_':...:i.....��........=,.:;..Aa�................................. � <br /> Foreman <br />