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S J.Pe��Fa�M'I_{619e'� � 73 � �� <br />W. D.'Farm) � <br />CITY OF EVERETT--Water Dept. <br />Application No.> : ....:................ Date._::.............1:............................19:..._ , <br />Install ....:.:.:.......................inch water service pipe <br />r• �� .......................................................:............... :........................................... <br />. .....:....::...:..:..:�:.::..�..........................---. streec <br />On ...................................... _. , <br />I.ot .............................................................. Block No...................--�-�-•�-•--�•-•-- <br />:�ddition ...............,......_....................................................:............................ <br />P.emarks .............::......................:......_.......::...:._.:....'.:..............---................ <br />--- <br />� <br />, .. <br />.......` ............................�...._r.l...«l a. <br />-' l � _ � . . .. . ... ._. <br />.. _ __ .........................................................i......�.................'_...:....:.......::................ <br />Superintendent <br />LABOR AND MAT6BIAL U86D <br />Lcad Connection Complete <br />Saddle Complete <br />........................................................................ P i P e <br />Service Cock • <br />Servicc Box � <br />...........i ..................--.._. ..------ <br />No. Iiours Labor ..............................................Cost..........................._....................... <br />Cutin._ .............._.Pavement....................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sa. Ft. <br />�,�-. <br />.......�..... <br />........... _ ... ---- _ . <br />......................... ..................................................................................................... <br />Order Recci��ed....__ .............................................. ........_t.. ........... <br />..... <br />" S r' !�i <br />�. ��_^ . �. <br />l�ork Cmnplefed._1.._..r... _......._.�.._ .......:.......::.��'.��.�..-....................... <br />Foreman / <br />