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s. d rnicec a� � 7 � � . . , - <br />w. O. fORM 8� r •, <br />CITY OF EVERETT--Water Dept. <br />Application No. � ........ ......_.. Date............................:...._...... ---..19....:. . <br />lnstall ............::...:........... .inch water service pipe <br />For ..::..::.._::.:.. <br />On...._L ..........:.. <br />I� o l ........... .........:. <br />f:ddi!ion .---..... <br />'.Zem2rks ......... <br />'..:,....:::._ :..............:........:.:........:.:....... Street <br />..........._-. Block Na ..::..:..........:...:...:..:....... <br />: ...........................:........:........'--........:...---...................... ...................................... <br />:. �. <br />_ ......,...........__ ....................................................._................................................ <br />r.........................:............._......._.;.............................._..........................--��,--•� <br />�. <br />_,� . .:�L.l:,:�i.....__ ................_.. .:.:........__.................................._ _.:.... - .... .._ <br />� ' � � �Scper�endent . . ,_ <br />LABU:L AND MATERIAI,-USED <br />............... _�.... <br />....:.......... � <br />......................1... ........... <br />Lcad Connection Comp]ete <br />:iacidlc Complele <br />... ................................................ <br />Servicc Cock <br />Scrvice Sox <br />........---........-----_-----.. _ . <br />Pipc <br />No. liours Labor ..............................................Cost.................................................... <br />Cutin............_......Pavement.._......_........X ........................ ..........._...........S9.Ft. <br />�',� l�., /� . r. � , ....................X........................ ......._............._ u <br />. . . <br />. i <br />. .: �. ....................7C........................ ........................ �� <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Fl. <br />-- ----- ---- <br />--` <br />Re m a r ks ............................1. r.....1 i... z.... .,: c...'..... ._.............. .......................... <br />� , <br />! r <br />1......i .:................____.i . ,._.c_...__ ____ <br />_ . ........................ ................... . _ . .. <br />� <br />� „ <br />OrderHeceived .............................................................................................. <br />\Vork Completed�:.:a.c'�.-..i:.Ii ..............._.....,�,' • <br />...1..:.._�..L :..:.............__. <br />Foreman <br />