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-a .t MTn[ a � ✓ L. V'. �}f'y—/''' <br /> w. o. ronw � ,28 • '" � ��b� <br /> ITY UF EVERETT--Water Dept <br /> . `� <br /> /J � � <br /> Application No..`.'�.l...�.�....... �Date.....'.�`... ........�..................19...... <br /> /I'nstalL.....1.��................inch water service pipe <br /> For ............../�...c..7...!�4�......��:✓:?.....��........._..................._.---...._..... <br /> On ...............�1..�.�..---_...........G�c�� ....._............_...._.. Street <br /> - -........ <br /> Lot..................._....��.............................._... Block No.....���._.._..._.. <br /> Addition .......................................................................................................... <br /> Remarks ........./...�......._.........................;.....----- • -- ............... <br /> ...........................�[1•-•-4�.?.''...:�:�.2....�-T'k.�.....�-y�-.'!.�'G.:.��......_.._... <br /> ....................�................................._.............----..............................__....... <br /> .........:..2(�j...C�.............................................. ....._.......... ._ .....:.......... <br /> O � � <br /> _.. <br /> ............................................_................................./..... .... ....cz:.. --•- <br /> �7 ��ns'� �ndent <br /> ,Z <br /> LABOR AND MATERIAL IIBHD <br /> No. Size � <br /> ........._......_........_......................... Lead Connection Complete <br /> ...................................................... Saddle Complete <br /> ......................St_............ ...._..... ..................._..........................._......................Pipe <br /> ................................................. ... Service Cock <br /> ......................_... ..._..................... Servicc Bor <br /> ................._..._.. ........................... ..............................................................._......_......_............................... <br /> No. Hours Lsbor..............................................Coat........._....__............................... <br /> Cutin....................Pavement....................X......._......_....... ..........._...........Sq.Ft. <br /> ....................X..............._._... �� <br /> ......._.._.._.._... <br /> ....................X................_...... ..................._... ° <br /> ....................X........................ �. <br /> ........ <br /> Total ..............._.......Sq.Ft. <br /> �.. . , <br /> Remarks..,,�...!....._�......._�.._-....!.'_`:. .:......--�---�-..._... <br /> ................................� �� fl ,�4 <br /> ..........................................................................................................:....�.............. <br /> � <br /> , �. <br /> .............................................................................""".......�..��..................... <br /> Order Peceive�..........---............._............................1:.:..........._............ .._...... <br /> 1VorE_ Completed---:�'._`'__:...-:::...:�.:..................._:.................................. <br /> Foreman <br /> r . � <br />