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e, J. PRI[Ijt 9�u� O � � � � � �-'..�� .�..% <br />W. b. IO�M ] � � � � <br />CI.TY OF EVERETT--Water Dept. <br />�� - � � <br />��,,.'l / ',,,� �, <br />Application No...... �:.--:......._:' Date....' .......:.........:..c....:.:..............19...... <br />;nstall...._—.�Zl!� . ............inct�'water service pipe <br />For � i�! ( ,' - . .. <br />...._L........61...:...r...� � :. Q .._ ....:............��.�--'---...........—StrfEt <br />. ... <br />� .. J" /"]� . � <br />( Q� ��( LJ.'.e. r i�. .,.!.....�......... »».. <br />On .............................._.......................:..:...:.. ...."-... <br />Blo.:k No.---...._ ................-•_•••... <br />Addition <br />I:emarks <br />� . �, /, , <br />..................1... ....... ^ ....... <br />......�...`_..._. ;........ <br />.........,.......... ................... : <br />�, ii � � , <br />% � �:.... .. -Fl..... <br />, ,. ( _�o <br />�v yABOR AND MATERIAL IISED <br />� <br />Superintendent <br />Lead Connection Complete <br />Saddle Completc <br />... �.t�.�ah�..:i ......................_...........................Pipe <br />Setro�Fe Cock <br />Service Box <br />No. Hours Labor ..............................................�osc........... <br />Cut in ....................Pavemcnt....................X......._...._....... <br />'�, n � �, �. � � . .. ; , ✓ ...................X..........._........... <br />` �� ....................�i........................ <br />........................Sq. Ft. <br />....................�...... .... ... . <br />Total ........................Sq. Ft. <br />---------�i <br />.� ; <br />c ,� n. ^-., � .� ��. P�..i... <br />Remarks.......................I.i..:c..!..t.........: .,..._......... ..1...::...........�,:.: :C.... <br />,,,,... ^ ..,r. <br />,� <br />Order Received .............................................._................ ......................... _ <br />. . ... <br />�- /�.- <br />\Vork Campleted....1..-./.. �%.'.:5..`.! .....................r.!�.� �.. �:'Y..... \ <br />Fareman <br />