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' 1 �.. �/ <br /> 6. J. PRI[![ ]M� ' � � . <br /> w. o. raaw a <br /> CITY UF EVERETT--Water Dept. <br /> •, � � � � � c� ��,� <br /> �� / , �� , � ...is...... <br /> Application No........................ . Date.!�.=--:......;........................-- <br /> ,, <br /> 7nsta]'_.......�!.c .........i ch water service pipe <br /> ................................................................. <br /> or ..................................... . <br /> � a ... J. , : ! , r. �_. Street <br /> / ;� � i :, ......:x...:.......................... <br /> On ..............._............. ...........-t-----�=�-� <br /> Lot.............................................................. Blc�ck No..................................... <br /> Addition ... i:..............................................._............................................ <br /> .... �. <br /> Remarks ��. N C:..41:'.,.:'�..�,......�—..._G_i_`.._�....:`...`.._�.::-...... <br /> , <br /> ....�................. <br /> ...........!�....:�!,a:.-s::c.1 t��..::.t.::�..�... ........(.;.,c...: � .:................_... <br /> ,� <br /> :. � , <br /> J „ <br /> �)' �, � . . , r . � <br /> 5.: . .... <br /> // --' <br /> _.........-W���.�..�j....... ......�......1........l..4-.........i............1`.....................'"'"""_ <br /> I � <br /> << . 1.............. ..�--��--• - <br /> (.......................................................................... „/........_... <br /> � � 1���_��_�__c�'��'�.:l:�c,',.�,� <br /> � �........`..�...`.. ........................................................ . F <br /> Supe Intendeat <br /> �'�,l �,: ;� r. � < < _— <br /> — r <br /> �I � LABOR AND ESATERIAL USED <br /> No. Size <br /> .... . ........................................ Lcad Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................tt............................ ........................................................................Pipe <br /> . Service Cock � <br /> .................................................... <br /> ...................................................... <br /> Service Box '• � � <br /> � <br /> .......................... ................................... ... .._f`..:........................................................... <br /> ........................... � <br /> �{ LL� <br /> .............. .................. _...........`.:.�.�.I.1�_..._....................._..................._..............:_........... <br /> ... .... ... <br /> No. Hours Labor..............................................Cost................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X..........._........... ......._............... <br /> �� <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> --- ---- <br /> Remar ........................................... ............................................................. <br /> - � , '. <br /> -' � t...�....._......................... <br /> ................................................ <br /> _...... .....�.._...._.....`,. . <br /> .......... r-.........y:.........�.._...:..�..............................................................""""........... <br /> OrderReceived............................................................................................... <br /> �! <br /> \Vork Completed........................._............................._..................._........._. <br /> Foreman <br />