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I <br /> i � <br />� I <br /> �r. a ra�w a /��/� ' �–_ p II � <br />, ��.lC'u d <br /> CITY OF EVERETT--Water Dept. � <br /> Applic�tion No...�.�e.���.... Date......:.'.�......`. <br /> ' 19G:� <br /> ............................. ` <br /> Tnstall...............................inch water service pipe <br /> , <br /> . <br /> or ............................. <br /> :__ t........_........................................................................ � <br />� On .,.1�...�_:X.SI._l:_.. �� •^<C � ................................ Street <br /> .... ......�...................... <br /> Lot.............................................................. Block Na..................................... <br /> Addition ......................................................................................................... <br /> Remarks ................................. <br /> ................................._.--�-�--......................... <br /> ......................................................................................................................... <br /> ......................................................................................................................._... , <br /> ...........................................................................................................•--......_... <br /> ..............................................................................................................._....... <br /> Superintendenf <br /> LAEOR AND MATERIAL IISED <br /> No. Size <br /> ...................................................... Lead Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................It............................ ........................................................................Pipe <br /> ..................................................... Scrvice Cock <br /> � <br /> ...................................................... Service Box <br /> ................._. <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ........................ �� <br /> ....................X........................ ........................ �� <br /> ....................X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> —'------- - <br /> Remarks............................................................ <br /> ................................................. <br /> ......................................................................................................................... <br /> ..............................................................................................................�-•---......... <br /> ��R <br /> Order Recciced............................................................................................... <br /> NorkCompleted............................................................ <br /> ......................... .. <br /> Foreman <br />