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7 � .___ <br />6 1 Ih�l�[ �N�� � _� <br />W. 0. ID11M � � <br />CITY OF EVERETT--Water Dept. <br />J7`�' 3 �7�� <br />Application No.�.......,..��`...._ .�.�.. �Date;_:.:' ....:........_��.: `...............19_� `.: <br />lnstall..._......'.:`......_---._. .inch water service pipe <br />For..................._..... f�................._..----.........._..................•-------.._........_.._. <br />. � . , . r � : • I . . <br />On "" ..............:.,�s=�""_.r....C..:.Y.....:..�..:'.'..:..i..:..G..._%...._". StiC¢S <br />` r'�Y('�'f . <br />Lot ..................._. `.�.�.......................... B1ock:No........_....;^:..:...� <br />.... ... . \ ...._..._ <br />Addition..............................................................._.....................---....._......----� <br />Remarks <br />.................................................... ..................A.....�........... <br />" <br />...........�._.....�� . <br />.�" � ✓ <br />........................................�----..............._%.�::1..:t....�'�... �_!.. �.-............... <br />' ,� Superintendad ' <br />�-� <br />r <br />LABOR AND MATE&IAL II9�� <br />Lcad Connection Complete <br />Saddle Complete <br />..:. � S..d ......................._...................................Pipe <br />Scrvice Cock <br />Service Box <br />No. Hours Labor ..............................................Cost................................................-•-- <br />Cutin ....................Pavement..............._..X......._......_....... ........................Sq. Ft. <br />�G/� �„�i"� ..................x.....................: ........................ ,� <br />Total ........................Sq. Ft. <br />---------�--- r . � <br />i <br />Remarlcs ............................../..a....}.:.::.r..._...'...::.:f:..:........�....,.:t.i:: z................. <br />.,.:::._�.._:z. <br />OrderPeceivecl .............................................................../................................. <br />\Vork Campleted.��'.::./....' 1_ct ..............................�JJ��da:t.�.;'......... <br />Foreman <br />