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. _:/�302 �f <br />w. o. roer a i��� L _- <br />CITY OF EVERETT--Water Dept. <br />:�- ; <br />. . ,,,� <br />hpp ren No...L..:.._: ...�.. .. Date....... �.......�......'^" ..................19...... <br />Install .............................. .inch wnter service pipe <br />� � � .,' � "f � � <br />c- (. � /-..::.._.:!i.�_�. �. : �. <br />For ............................. ......,........................................................ <br />, - � <br />� � <br />.:. -.:-::�.%<;::.5.._.�_?..,:..:::.:.s ..:...................... Street <br />On ...........L :...:.:..... . . <br />Lot.............................................................. Block No..._................................. <br />Addition......................................................................................................... <br />Remark� .......................................................................................................... <br />. .............................. <br />_ _............ _ ... _ ............. <br />......................... ... .......... ................................................................................ <br />Supetintendent <br />LA60R A�ID MATERIAL U3ED <br />No. I Size <br />.l.cad Connection Cmnplete <br />Saddlc Complete <br />Scrvice Cock <br />Ser.icc Box <br />... ..................... <br />Pipc <br />No. Hours Labor_ ................_ _..........._.........Cost............................................. .... <br />Cutin.._ ..... .........Pavement._......._........X................_...... ............._.........Sq.Ft. <br />......... ......... X ....................... .� <br />........................ <br />....................X........................ �. <br />...... ................. <br />....................X........................ .� <br />........................ <br />Total .............____...SQ. Ft. <br />`_'--__ _ —__ _.__— <br />Remarks .................................................................................... ........................ <br />Order Received .............. <br />1Vork Complcted..._...... <br />........................ ................... <br />_.....__ .__ .................__ ._.... <br />Fo.em n <br />