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/4 �F Q ��� <br /> w, o. ronyta " ^ �i����l �/ <br /> CITY CJF EVERETT--Wac�r Dept. <br /> �i�•�:y- . , _ � � <br /> . . %/ -/i �- I iss2...................1s...... <br /> A�pkeni3er� No..........:......... .... Date............................. <br /> ,�i" Install...................._....... .inch water service pipe <br /> � <br /> / � <br /> , ' � - . <br /> ,, <br /> Foi ....:.....:. .r...:�. L.:<:::_..�..:.:...._!..!_;.:.:..�..:.:... ._:.:,.:.:......_............... <br /> � <br /> ; � , � ,! � <br /> c i C� ��-- � . ,-,- �: . <br /> On ......._(."...........:..................._. _ ,.. . <br /> �..:.._......�....�..::....::.:....:..................... Street <br /> Lot.........................................................�---. Block No........---........................-- <br /> Addition .................................. •-----............................................................... <br /> Remarks ...............................................................................................�--...... <br /> ........................................................................................................................... <br /> ............................................................................................................................. <br /> ........................ _ . _ ._...................-----............................................---�------... <br /> ........................................................................................................................... <br /> Superintendent <br /> LABOR AND AIATERIAL U5ED <br /> No. Size � <br /> — — � <br /> ..........................._�Le.d Connection Complete <br /> ...................................................... Saddlc Complete <br /> ......................ft............................ ........................................................................Pi pe <br /> ..................................................... Scrv�cc Cock <br /> ...................................................... Service Box <br /> No. Y.ours Labor.............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> .... ...............X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — —�---�----- - --- <br /> Re�n a r ks.......................................................... ............................................... <br /> ........................ . __.......................... ........................................................... <br /> .............................................................................. ......................................... <br /> OrderReceived............................................................................................... <br /> \Vork Completed.................................__........................ ........................._ . <br /> Foreman <br />