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5'l.Rieb�{Id7.�b2��O � `� � ^� <br /> W.U.Porm] � Q� <br /> CITY OF EVERETT--Water Dept. <br /> � q <br /> Application No....1�.�.�/.5.. Dat .............. // L�f......19..�/ <br /> --•- ----�--. ...... <br /> Install......... .. ... .... i wat service pipe <br /> For � .......' <br /> ... ...........� . . ..... <br /> . ' <br /> .. . ...... . .. .......................... .. <br /> '! L . ... <br /> On ...................�..7..a.�..!7�. �........... Street <br /> ..... .. .............. . .. . <br /> Lot...................�a...�.._�!'................--- Bloc No........---•--....................... <br /> f Additim� .............. . <br /> .............................. ......... . ...............�---�--.............. <br /> ......._... <br /> Pem3rks ...........�..�YLL,tr1��...% ��t._� <br /> ............................................................................................................................. <br /> ..........................................�. ... <br /> ._—�-. •-�. ................................................................ <br /> , ,.� <br /> .� ..�.1:4.. ...... _.............� . ................ ........... � <br /> \, ............. ___ <br /> � ... <br /> \ ^ ... . (j1''�I_ _ <br /> . ... Nr- "_ <br /> ..... <br /> �,,,..:..;.`.. �a`� ................. <br /> ,� �..�............................................. • � <br /> � , �............ ...... <br /> L� • uperin nde t <br /> , � � �� � . LABOR AND MAT6RIAL II9ED <br /> _No, Size � <br /> "—- ---- <br /> ......................................................I Lead Conncetion Complete <br /> ......................................................i Saddle Completc <br /> .......................ft............................I ........................................................................Pipe <br /> ...................................................... Scrvicc Cock <br /> ...................................................... Service Box <br /> nTo. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ .......................Sq.Ft. <br /> ....................X........................ .� <br /> ........................ <br /> .................. ........ �� <br /> ... ................ ........................ <br /> ....................X........................ .� <br /> ........................ <br /> _— ------- - — .. <br /> � Totnl ........................Sq.Ft. <br /> .r . _: .��--, -- _.— -- <br /> Remarksx'...'....`-'.l. ....i.'• ','ce • _..._ <br /> ........�....................-- ................................. <br /> � , <br /> .._ _.. ........ --.........................,...................._........................................... <br /> . ............................................................................................................... <br /> o�•a�� rF���.��a....................................._.............. .,.....�...,�..........y. �f. ;, <br /> �i'ork Comp:eted...�,..-.�r ' ._�' C'�.'�����-G� l , <br /> .....�. ............... ......�..... .�...:...................�. <br /> Foreman <br /> ) <br /> 7 <br />