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��.. . ... . <br /> A J. PNI[6[��� �� ` <br /> w. C. �OqM <br /> CIT OF EVERETT--Water Dept. <br /> A 'PP.: .��`-��c� � �7 lg'.;i./ <br /> ctition No.:::.....:............. Da e.......---..........----............----.... <br /> . <br /> � ?�.....inch wat service pipe <br /> Install............. ......... <br /> For ...................(../.......................�.0..��..........................----.................._.. <br /> Cn ...............�...J•�.G......:�..:..7--�--......._-........................----..... Street <br />' Lot.-_-..................-------...................._....... Block No....--�---------�------------� <br /> Addition ..............�-.....................r.............................................................. <br /> r �' � ' �� <br /> , .. � _ �.z„��r��L,,::^.:�../ <br /> Remarks ..----...�.:---�-:...:i�,.:...�.c:,.:._,.�_.........._..._ . .... <br /> ......................--.........................................----.................-----......................------ <br /> ...............................................-...................-----.......................-------.....----- <br /> .....................................................................................................I........�..r�.... <br /> ....................................�---�---....._.--...----................................_,.J��.���,;�.�, <br />� Superintendent <br />- (i � <br /> LABOA AAiD MATGR'iAL LTSED <br /> No. Size � -- <br /> ., ................. ......... Lead Connection Complete <br /> .............. ....... <br />• 4 <br /> � ..................................:................... Snddle ComPlete <br /> ......................3t._......................... ........................................................................Pipe <br /> ..................................................... Service Cack <br /> i Service Box <br /> ...................................................... <br />� i ..............................................._............................................................... <br /> . ...................................................... <br /> I <br /> � ..............................................._............................................................._ <br /> � ......................_.............................. <br /> �, ...................................... ................................................................................................................ <br /> ................ <br /> (' ......................_... .......................... ................................................................................................................. <br /> � <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X......._............... ........................Sq.Ft. <br /> ....................7C........................ �, <br /> ......._........... <br /> ....................X..............._. �� <br /> ...... ........................ <br /> � ....................X........................ �, <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -------- <br /> Remarks........................................................................................................ ... <br /> ... � ................................... � ....................................................................-�� <br /> ...................-................................................-------.......---...............---..............._ <br /> O;•.'�.r Peceived_...................................._......................................._.....- • -/ <br />� �Vorb= Camp]eted........................................._............................--................. <br /> Forema❑ <br /> t <br /> i <br />