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Vl.��U.F�e M���61 5 <br /> C�T�O�EVERETT--Water Dept. <br /> rAPPlication No...............:......... Date........._...................'.................19:..... <br /> Install................................inch water service pipe <br /> ....... .. ..... <br /> ...1..........................:................................................... <br /> For'........ ........... — <br /> , . ; , ............................ Street <br /> On .....:......... <br /> ..............:...:...:.........._........................ . <br /> Lot........................:............................. ....... Block No.._..:......._'.................--•-- <br /> F.udition ....... . ............................................... <br /> __....._._.............._.... <br /> � P.emarks ........... � .......................................................................................... <br /> ��i` . <br /> ............................................................................ <br /> `� ........��^.............................. <br /> ._. ,--,-i ...:....!..:......... <br /> � ......................... <br /> ................ <br /> ....- - .............. . <br /> ✓...... ............ <br /> �JF"" /� <br /> .....:................................ , ...�...,.. <br /> . � ................. - <br /> > `�..:... ............................................. <br /> .............................._. ¢ <br /> upermtendent <br /> ,��. •�`�_ <br /> � �,i ., \ _ <br /> �� • LABOR AND MATERIAL DSED <br /> \,� ' '� <br /> � ` �� � . Size <br /> � -- �,i30=�_� '. <br /> , � --% . � � Lcad Connection Complete <br /> ......................................................I Sandlc ComPletc <br /> .....................................:_...._....... � . ��..I-' c '......................._............Pipc <br /> ' � ......:. <br /> . �- ....._�._�t...... .. <br /> .............J.......ft...........::�.........._. . , .� <br /> � ...,..;'.F_:._ Service CocR <br /> . ...... - . . <br /> � ., Serv�ce Box� � / . <br /> _... � , d � � ..... <br /> � „ , �..� .... <br /> .. �� ..l' / '� . �... ... <br /> . .. ..:...................�Y' ( rr-. ..... ... <br /> .. <br /> + w L <br /> % � ? f <br /> � ry <br /> �..�. � . <br /> ............F........... , _ � , . <br /> ....:............... . . . . . . . � . . ..................... <br /> . . ....:.n.,......J.t...................._.... <br /> ....... I . . <br /> � '.' N J ..ti..:......_....... . <br /> ..:..�f:................ <br /> ................ <br /> ........ .......................... <br /> _._.. <br /> .................. / <br /> .....`:..C.OS�.��.�......................................... <br /> No. liourc Labor..................................... .......................5 Ft. <br /> Cut in..._._......_._Pavemcnt........._.........X........................ . 9�� <br /> ...................X........................ ........................ <br /> � „ <br /> � � i..� ....._.........._.X........................ ......................_ �� <br /> � , , � �r' ..................._- <br /> ' f61- ....................x._._.................. <br /> Total ........................Sq.Ft. <br /> —--._-----�— <br /> ..._.................--"---.........._. <br /> Rcmarks.................._........................._................... <br /> ................_..._.._....._.................................... <br /> .............._.._................................_............ <br /> Order P,ecci�•ed..._..._..........._....... ............r_......_.;1�.7';,_._.......... .f-- <br /> , , - <br /> ';;ork Completed...r I......_.....t..:... .....1.1..I.........4....C..L�:�Foreman <br /> _��� <br />