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/ gu2 / 9 ; <br />w. o. rr.nr+ a . . <br />� CITY �P EVERETT--Water Dept. <br />"'� � `� � i�;�;r, i <br />. � ,:..a <br />App3�r�tron No..::..:�:.:_._.:...... Date ....................................._.........19...... <br />lnstall ..................._......... .inch water service pipe <br />. . ;• <br />For .......:'..._� :.::..:.:.:..:....cL............._:�:..:..:. f!../...:....:i.:......._...................... <br />'. � ; , =. / .............._....... Street <br />On .......:..�:.,:. � .........................._.................... <br />Lot.............................................................. Block Nc.....---............................. <br />:lddilion .......................................................................................................... <br />R�marks ......................................................................................................... <br />......................................................................................... <br />_ .......................................................................... ..... <br />_ ............................................................................................ _ <br />.............................._...._- -- ------ ............ <br />Superintendent <br />LABOR AND 11fATERIAL USED <br />No. Sizc I <br />.., ... ..__....... � Lead Cnnnection Completc <br />..... ................ _ _ ..... <br />._......_ ................I..................._......I Saddle Complete <br />._ _.....__..._ . ......................__._............_.........Pipc <br />Scrvicc ^ock <br />Scrvice ll.�x <br />......._........__ .................._............._............_..... ......... <br />._..._ .......__ .................._............................._.......__... <br />..__ ...................._..._........._..............._........................ <br />No. Hours L�bor .................._.._.......__..........Cost...............................................__. <br />Cutin.._....._. .....Bavement.....__.._......X ........................ ........................Sq. Ft. <br />....................X..._............... �� <br />.... ......._ ............... <br />....._._._..._..X ......................_ �� <br />........................ <br />.............. _ _ _X........................ . � <br />• � ........................ <br />1bla: .............._........Sq. Ft. <br />----- �----- -----� --- <br />---- <br />Re m a r ks............ _ ..................................................... _............................... ........ <br />.... ..................... _..... ................................. ..........................._ _................._... <br />OrdcrRecci��ed ................................................................................................ <br />\Vork Complcted ................................_..................................................__... <br />Foreman <br />