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S J. P:!,b, 4M ]y/l1�;J g 9 ¢ <br />W. n F.,.J iV/ <br />CITY OF EVERETT,-Water Dept. <br />Application Nok...�..C%..�1� Date....... ,a............_l..-..}.....19...._ <br />Install ....... ../.4,,e.............inch water service pipe <br />For........ y................ <br />-- <br />On .........°....:.............. ...!: .Z .::t :..::r................... Street <br />Lot............ .............. _............... ..._......._.. Block No.._ ..... ........................... <br />Addition ............ <br />Remarks............:� }tcR. t}........... --.................. ....... ......... <br />_.. <br />.�f /i "_, <br />. , ..................................................... .......................... <br />_._.._._..__. <br />. �...........................................- —I t.._.._•_--__ <br />_.._...... ........................................ L...LC <br />--->• j Superintendent <br />No. <br />LABOR AND MATERIAL tSED v� <br />.... _. Lead Connection Complete <br />...... <br />Saddle Co ple e ............ <br />.. �� <br />....L�.O.... ..............._........:....._...................Pipe <br />Service ock <br />. ........... Service Box <br /><err... X xrs.zs _/.. �N.: f•.._.._.._.. _.. <br />No. Hours Labor ........... _...........................(?... cost ..Y:..`.:.: <br />............. .................. <br />Cutin....................Pavement.................... X ............ ........... ........................Sq. Ft. <br />.................... X.................... ... .... .......... ........ .. <br />.................... ........................ ....... ................ <br />., <br />....................X ........................ <br />Total ._......................Sq. Ft. <br />................................... ............ ................................... _............................. ........ ... <br />Order Received .................... ................... ....... ............... _........................ <br />..... <br />/ <br />WorkCompleted ... ...................................................................................... . <br />Foremen t <br />