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s..a rnicar.� L / 6s � �1 d� `�' <br />w. o. ronw �� <br />CITY OF EVERETT--Water Dept. r_, <br />,_ ,r. <br />_ , ,/ ., - <br />Application No.:......._ ........:.... Date./._'.,:.._�.....::........:.................19...... / <br />/ Install.....—J.L�{....-w�jinr.hwater�eFvi pipe <br />� _, .�: r. � � ...c.. ...... <br />_ ...1, ...:,...... �.`: <br />.._ <br />, �� , / ...... ' - <br />For.._ ......................................................:. � r_a-.... <br />•� : ; - I )....�a.�.:..t.::_'.....:.5.: r.._ �cZ.'.� :�.:':.. Street <br />On..................:.....:............._. , . <br />Lot.................�..�I..........._..I........� ......... Block Na..................................... <br />. ,. .: r..::.� ..:.:..::...................... ................. <br />Addition ....................1�'..:r...'...!............. <br />Rem�irks ......................... <br />.................................................. <br />.............................. <br />.........'.------ <br />................. <br />�� i <br />_ ................................... ........ .`..'../ .....�_.'..,...'.._!•-- <br />- ..... <br />. ........_....... /, •. <br />'. � .......:.......: ..-.:.:"_'............ <br />! Superintendoric <br />....._�. .i�......_ .................................... . <br />lT���� .__ . <br />LABOR AICD MATERIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />Pipe <br />. .................I . ...._.._.____. <br />..... .......... Service Cock <br />... <br />___............ Scrvice Box <br />....VVaw .................... ..... <br />No. Hours Labor .......................................... ..........5 Fl. <br />... _.Pavement..._ ...............X........................ .............. 9. <br />Cut in..........._. �� <br />' � ....................X........................ ........................ <br />,. _ . .. .�. .� <br />, . , <br />� .............. ......... �� <br />, , , ... ................ .......... <br />. , , . . " � .. f:i ..............X.._.................... .............. ......_. <br />', ., Total ......................_S9.E't. <br />--------.� - � ' <br />. ,' � ...�ti.�,�....;:<.:...�.�...� ..................................... <br />�.... <br />Remarks ............... _...............I .. <br />� , ..:. �..._ .............._ --... <br />�.:.�.�..... � ..:.............. ...... <br />................ _ .............. _................... � <br />........... ... . ...................... _ �. L...:.. t. �.:..c:..�...................................................... <br />Order Received .............._..........................................,..,,.......................�. <br />, ' -', i . , , <br />................. <br />\Vark Campleted.l.l...........`_..:..:�..:� ................._........C.:.._... Foreman <br />