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r'i�/dTt� � � <br /> '�� I �1 � r <br /> - . � 5 1 PnabeiM7.f62 � - � <br /> W.D.Form J <br />, <br /> CITY OF EVERETT--Water Dept. <br /> j ' APPlication No....................---- Date.............................................._19...... <br />' Install................................inch �vater service pipe <br /> i - r For ............................................................._.......................... ....._-----.............. <br /> _ On ..........._...........................-..........---............................................---- Street <br />'� , <br /> Lot.............................................................. Block No.....-----------.................. <br /> Addition .......................................................................................................... <br /> I <br /> Remarks .......................................................................................................... <br /> ......................__.................................................................................................-- <br /> ............................................................................................................................. <br /> I ......................................................................................................................... <br /> Superintendent <br /> LABOR AND MATERIAL IISED <br /> No. Size <br /> ...... ......................................... Lead Connection Complete <br /> ..................................................... Saddle ComPlete, <br /> ' ;� i�:r L,:. ,- 1:_ — <br /> .......y...�......ft........................... ..........................................._.................:.........Pipe <br /> ...................................................... Scrvicc Cock � . <br /> ...................................................... Servicc Box <br /> No. Hours Labor..............................................Cost.........................---........................ <br /> Cutin....................Paveinent....................X........................ ........................59.Ft. <br /> ....................X........................ �� <br /> ........................ <br />� � ....................X........................ ........................ �� <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> —�---� �— �---- <br /> Re m a r ks.............................................................................. .............................. <br /> ......................... .......................................................................................... <br /> ......................................................................................................................... / <br />� <br /> OrderReceived............................................................................................... <br /> \'dork Cmnpleted .....:....::...'.:.::.:.:.................::.L�'....'..:�:r..:::...l................._ � <br />, Foreman <br />