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/!� /�/O /c�i j <br />w. o. ro�w a � <br />CITY OF EVERETT--Water Dept. <br />!C'1d'S '�'— 4::% <br />Applicalion No .......:...:........_... Date.......................L.......................19... <br />install ...............................inch water service pipe <br />rar .......'.r::'..._�.....:,;IF :................�.......... . ............. <br />...'...4�..'.......',.. <br />............. <br />On ' .c_<.z4.,=-s :......::�� .�. :°.;. � .....::................. Street <br />t.,,� --- - �- - - .............._... Block No..................................... <br />Addition ......... <br />Remarks ......... <br />�'���� ����������� � -- -- -� Superintendent <br />LABOR AND MATERIAL USED <br />No. <br />Lcad Connection Complcic <br />Sa_dlc Completc <br />5ervice Cock <br />Ser�i_e Box <br />No. Hours Lsbor ..............................................Cost................................................... <br />Cutin ....................Pavement......__.........X........................ ........................59. Ft. <br />................... X........................ ........................ <br />.� <br />....................X........................ .� <br />........................ <br />....................X........................ �� <br />Total ........................SQ. Ft. <br />______ <br />Remarks ............................................................................................................. <br />..................................................................................... <br />� <br />OrderReccived ............................................................................................... <br />\�'ork Completed......__............_._........._..._.....__._..._._ ......................_.. <br />Foreman <br />. -v <br />