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" <br />,� `�-88 2 <br />w. o. ronw <br />CITY Or EVERETT--Water Dept. , <br />-; , ..,' ,�: <br />i�/�--'� � � <br />Application No ........................ Date.......r..'..........:..........................19...... <br />�, ' Install...-_'��.}.,,.../.,...-.inch water service pipe <br />� . <br />. , . - <br />Fm .,;..� ..... .........� .. . �::....:�::..,......_.....x............_....................... <br />�, ./ <br />� „ <br />On ...........�-:..../. ��..........�1�...� �... ;!.::?.:':.........%�....: � :................ Street <br />Lot...................:::..:.........................1.......... Bleck No..................................... <br />Addilion .. �._.�� <br />_.......____ ..............._......... <br />........................................... <br />/ ,. ; <br />� <br />.... ... ........_..................:.................. �....,........-'--........�.j . <br />- , J.......--�---....... <br />{� j}..... <br />..L /, A � �' ................:.�.. <br />........._.... <br />................................. .....................�.......... ..r <br />� ����� ��.eperintende, <br />LABOR AND MATERIAL USED <br />No. L_ Size I --- <br />�---- — -t----- <br />........................._�..........._..___..._ Lead Connection Complete <br />.. _.._......I........._......__....., Saddle Complete <br />...........................PiPc <br />Scrvicc Cock <br />Ser�icc Box <br />.. _....... _............_I ...........................I ................... ..... <br />_._._ .............. <br />No. 2iours 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 />_ ..............____..._............. <br />_ ..........._.._........_._.......------. <br />OrderReceiced..........._ .........................._...................................................... <br />1VorkComplcted ......................_._.....................__........................_........_. <br />Foreman <br />