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/� •�ty� � .. � - . . . .�,r., <br />s t �rhido['b� V J '—" � i � ✓ .� (.� � � . _ . . . <br />w. o. roaN � � <br />CITY OF �EVERET�I'--Wat�r Dept. <br />-- : ,. <br />.-�� ., � • Date.......,.�........_t� :.......................19�:/. <br />Auplication No ....::..:..:.'�••r'•-- <br />Install ........................ ......inch water service pipe <br />� � �::::�:�...- ......................._..... <br />For .....�..-..../..::?..�........�!�,::(�:�:....�.� <br />On ......................................................................... . <br />............................ Street <br />Lot ..................._. ......................_..........._... <br />Block No... .......5! .............. <br />....... <br />� ..................... l.k....................... <br />Addition ........ ............................... . . <br />.. � /�� �� <br />I�....... � �fi4.�'cr'� ` w�MdSL �.�C <br />• 1-, i � ..�... <br />. . ...::...... <br />Remarks .....I..Y...a.ci:t.�..t .�...�:�......... , <br />No. <br />LABOR AND MATERIAL USED <br />:.ead Connection Complele <br />SaddleComplete /"�,��.� <br />� <br />. . ...............PiPe <br />..................... <br />....f % .�. .. .. <br />Rcrvice Ccck <br />Scrvicc Box <br />� <br />No. Iiours a or ........................................ ........................54. Ft. <br />Cut in ....................Pavement....................X..............._....... �� <br />� ...................X.................._... ......._............... <br />...............--- �� <br />................... <br />........................ <br />........................ <br />Total ..............._.......59. Ft. <br />�---- <br />---- <br />........................................---.. <br />............... y .....................................................---.............................i....................... / <br />/ <br />...................E..:... ................. � <br />Order Peceivc3 .......................... , . ;(:'� > 1 <br />. <br />\Vork Cmnplrted ..............,:1. ., ✓.:: !. �....._.................._`.::.._" . ............... � <br />........ ........ <br />� Foreman <br />