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5 ].Priek•�b1'.1a� I So— ��� L. <br />W. D.-Fnm.� ,� <br />CITY OF EVERETT'--Water Dept. <br />„ .;� : ; <br />Application No..(,�..�,.:��'._.. Date............_:._..._T ......:...... ......19.%'.! <br />Install......��� :� ..............inch water service pipe <br />For � ................................ <br />.....................--......_................... �..�;._............. <br />. � � �! i <br />� �.r=:...._.:i:..-:.r:.:�L.1.........'......' :..:.:..:........... Street <br />On .........._..�._�.�.:. . <br />. -' - - ...... Block No........ --- ....................... <br />Additicn....::............1........::................._........................ <br />,- i : , . <br />Remarks• ....................._�....:......_, .,�-- <br />..� ......................... _ <br />�� <br />�.,/......_ .................................................._ ..__....._........_.._........................... <br />/','/'..A.'�r�..r/ .....................................__�._-......_ �.. ..........................._--- <br />r <br />- L�� � �_!;i:..%.::.'.- :......................... <br />- ... . � . .........._ .............................�... , -. �i ,�' SuPcrintendent <br />� <br />�� \ <br />LA66R AND MATERIAL USED <br />---- <br />....... .................... <br />.........................I Lcad Connection Complete <br />.. ......................... .......................... <br />Saddlc Completc <br />ft........................... .........._...__........................._... <br />.. _ ................... <br />. Servicc Cock <br />. .. . _.. _ ............ .. <br />........................... . <br />I __........... Scrvicc Box <br />........... ........._.......-------- <br />.... ....Pipc <br />ICn. Hours Lcbor_....._ ......................_.............ws�._.............._................................. <br />Cutin..._......__.....Pavement............_......X ........................ ........................S9.Ft. <br />....................X........................ ........................ <br />�� <br />X-- ................... ....................._. <br />�� <br />.... _ ..............x. _ ..................... ..---_........... _. <br />Total ........................Sq. Ft. <br />_-- -�._ __. . . ..� . <br />. _ . � -....__.........._._ ......................_......_. <br />.... _ ......................... <br />R c m a r ks. _. _ ................. .. <br />/ <br />_ _ ............._ __. _._...._................................_............._.........._.__......... <br />_....._.__.. _ ... ..................................................................................... <br />OrflerReceived.._...___..._....._.......__ .........................................................._. <br />\'�iork Completed...:._ :...:.........�_.....__.......... . ....� <br />.__...__._.......... _........ <br />I - �� ��� Foreman <br />