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rr(,�l � <br />4.J.Pfl1[O M��3` t ��'� ,�� <br />W. p. ION� <br />CITY OF EVERETT--Water Dept. <br />� <br />�'�''%� <br />Application No..,�.::..:.. i:..:.:..:.. Dato ...............................................19...... : <br />;�stall ......::..:::.:...............inch water service pipe <br />/ <br />or .........................:.................... <br />..::.:.............................................................. <br />/i c_ � � ; ° ' , ' <br />On..................................:.............:.....:....: ..'.....;....:t..i.....:.............. Stree: <br />L �t .................... �... f .. �..... <br />...... Blc:k No ..................--...........---.. <br />• I , . <br />2dilition.....................r:..t:..:....::...:....'..::.::......:!:..:�:.............................---- <br />Remarks............................................................................�----............----......... <br />... —..:-...� ........................ <br />_ :.::... <br />� . <br />. �- <br />.1 .. ....... .....:....:............... <br />i/ <br />�' _ <br />No. <br />� . -- .,. , <br />LABOR AND MATERIAL USED <br />.......................I Lcad Connection Complete <br />........_ .............. Fiaddle ComPlele <br />..........:............ ..............................._................. <br />.':':;:.�............ Scrvice Cock <br />...-_-_......---... Service Box <br />._.... ��..: ..---�--.. <br />Superinlendent <br />No. Hours Labor ..............................................�ua�.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq.Ft. <br />, �� <br />. � .. ....................X........................ ......._............... <br />� . <br />/'�' '� <br />, . � � . i -'.; ._ .................X........................ ........................ �, <br />....................X........................ �� <br />Total ........................Sq. Ft. <br />..___ _ <br />Order Received .... . l l....... ................... <br />.. . ........... ....... ...... ..... <br />. j `-( � CfiLov <br />Work Completed.�.-.,5.' ............................ .......:�................ <br />Foreman <br />� <br />