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5 J.Pri<bH�� O � � v <br /> N.D.Form) <br /> CITY OF EVERETT--Water Dep�. <br /> Applicatimi No...6Q0.3........... Date.....Jlll�* 28.z194/.._.._19...... <br /> Install.....1r2.................inch water rervice pipe <br /> , <br /> For .............................Y�1o�OF ......................................_......................... <br /> � On .............21�.7...�ICbi�._Plflce......................... ................. Street <br /> 1,ot...24......... ...................._...................... Block No.....�.............................. <br /> iAddi!ion ._........._..................._........................................................_............. <br /> Remarks ............ReriP.x1A1__...................... .........................:..........---... <br /> ................................................................ ....................... .................................. <br /> ................................................................................ ................................ <br /> .................................. ................................................................................ <br /> ....................................................._G.�1.Paine....... .........: <br /> ........................ <br /> HV Z Superintendent <br /> LABOR AND MATERIAL USED <br /> No. I 3izc �. . <br /> - - -- — <br /> � Lead Connection Complete <br /> ........_..........._...�.............._�......__I Sad�e Cmnplete <br /> ............. --- <br /> . .._:�.:��J........ft........._.::............_I .........:..._. _.........Pipc <br /> . ..._............_.._..................... <br /> ........................_........._................ 5-rvice Cock <br /> .......................... ...................._.... Scrvicc IIox <br /> ._.......................i. <br /> ..._....................� ...................._.............._......__.._............._._.................................._....... <br /> ro. Ilum�s I.abor.............._.............__.............CosL...................................._............. <br /> Cutin._......._.. ....Pavement....................X............_...._.... .............._......_Sq.Fl. <br /> ....................X........................ „ <br /> ....................... <br /> .......___._....X.__...._............. �. <br /> ........................ <br /> ....._...._.......X............._......._ �, <br /> ........................ <br /> Total ......................Sq.Ft. <br /> _----- -- -- ----. ._ _ <br /> , <br /> Remar,ts_..:.:....................................._......_..:...._..........:........_�..................._... <br /> . _......._...___.....................................__..._.............................._.......................... <br /> ........._....__._...__......._...............__......---.......................................................--- <br /> OrderPcceived.._..............................................._.........................._..._........ <br /> � ' - <br /> '��ork Completed.......:�.L../'�..I.........._._............._�......:.�....�l.:.f"� r <br /> Foreman <br />