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/ 4�3 7 S` - - � ,i <br />,=�';S <br />w.—o. ronr+ o � <br />/CITY OF EVERETT--V�'aeer Dept. <br />C C�c �-it, /� S_J � G1A� 1 '9F2 <br />Apglic�tiomNo ...................... Date................................................19...... <br />7nstall ...............................inch water service pipe <br />i- . <br />For ..........`%�.:..._�.�! :�.::...:[.:.t...:"I.:.:..� ::..:................................................. <br />On ..............�'..::.'...'....�...._�...:E:::.�:t.::.:.'.................................... Street <br />Lot.............................................................. Block No.............--�---•---.............. <br />Adciition.....................................................................................................•-�-- <br />Remarks...................................................................�--.................................... <br />Superi�tendent <br />LABOR AND MATERIAL USED <br />..........._ ..............I..........................I =.end Connection Complete <br />................. <br />... .. ......... <br />, Saddle Completc <br />.............I Servicr. Cock <br />Scr:ice Box <br />. ................................................. .. ................................................................................................................ <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin.........._........Pavcment ....................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................k........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />--------' ---- <br />Re� n a r ks ................................................................................................ .... . <br />_. ........ .__ _. _._. ......_.._........__ .......................................................................... <br />............................................................................................................................. <br />OrderRecei��ed .......................................................................... ................ <br />1VorkCompleted ......................._...._............................................._............. ' <br />Forcman <br />