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W�D Fabm�]�.162995g�Q� _ `- . /'1c f.r.f� .`�� `�/� J <br /> �.! <br /> CITY OF EVERETT--Water Dept. <br /> � -, , , � <br /> Application No._�I_�� �... Date....._':.�/i-�:..:'!.._`�..�......19_�.: <br /> Install.....��.�....................inch�ater service pipe <br /> r,� . -�............:................J .....................----.... <br /> r ............................................... .. � <br /> On .........._!�� �....y�............t_�:`e...1,.:-::.....::._:...s�i:�_c.c: Street <br /> Lot.............................................................. BloEli No..................................... <br /> clddition .......................................................................................................... <br /> : , <br /> Rem;irl;s � .................................. . <br /> ...............................�... t <br /> � �:—?-]:!.f.....t..:..::: 'i_.4�� -••----..._............. <br /> ' .......................................... <br /> ............................................... .......:.. <br /> .............._..............!....................... <br /> ................................ ................................. <br /> . � ,t <br /> �� '�:..�Sc..!<.c��.._.'�'::�':::".:`L�:�:�..........................�,�......������:........ <br /> ---•--•-•- . .... ...r..:�..r�-- <br /> .................................::-....1. . <br /> ................................................ Ssuperintendent <br /> l�.✓/I-/ r I t �c <br /> LABOR AND 1HAT6RIAL U3ED �� <br /> Nu. i Sizc �—_ <br /> --� --1------ <br /> .............................__.............I Lead C'onnection Complete <br /> ........ <br /> . <br /> / , . Sa3d'° Co 1, <br /> !��:/` <br /> ....�...r�......:s._......._,�........ ......�' ... <br /> ....... ....................................PiPe <br /> ............................. <br /> ..........:..�....... Scrvi k <br /> .......................... Scrvi e ox <br /> _...................... .......................I ............._................................................................................................. <br /> No. Hours Labor..............................................Cost........................................5....Ft. <br /> Cutin....................Pavement....................X....................... ........................ q. <br /> ....................X........................ ........................ <br /> �� <br /> ...................X........................ ........................ <br /> �� <br /> � ........................ �� <br /> ....................X........................ <br /> Total ........................Sq.Ft. <br /> __— <br /> —� -----� •� <br /> �]-4 S. �., , o, l. ,_c...:� � <br /> . . . <br /> R�n�arks....................Y... ...........................:.:...............:........................ <br /> -_ . - <br /> • ., . . ..,� ' , Yn � :'� -`•• L :ItL <br /> ,. , <br /> r ., ! <br /> 1�" f'::..�.. ..:. ....q...........:.....�. <br /> I.......4�.............r-.... .. .. <br /> �:..�:1...Y...�:..�.......L........ . . (. <br /> , <br /> , <br /> : ...................... .......................... <br /> G.�1.��l.......<1.G.....�i..c.c..�.....�...:.......c'.?. <br /> r••r�,^-,�:;'................. . <br /> Order Recei��ed...._........ .. ................................_ .— <br /> /,� � ��y......� '`, '..L-..��r-.�.�... <br /> \Vork Campleted.Lc_."......,�................. ......� <br /> Foreman <br /> �' <br />