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w. o. row�a � � �� �' .. � / �� <br />CITY OF EVERETT--Water Dept. <br />- -� ' /; � .� <br />Applicalion No..�:�.r..(.��. �.. Date,.. UG.'-i.:?. ...�.� .............19...... <br />, ",= .�y'. <br />� lnstalL ..:....:::....�............ �nch water service pipe <br />� <br />For ...... (..-`-�..._�... �..:......' e� '. �..:� `:.......� .................................... . . . . <br />......... <br />On ........_ ...1.��.-.._�..n...�..�r....�.�.% ........................................ Street <br />Lot.............................................................. Block Nu. ---•-•---.......................... <br />:!ddition .......................................................................................................... <br />Remarks <br />� �• ..::::.........rs............... ---.............. . . . <br />. . . .. . ...� <br />- ------- <br />�, ,, . , , � `_�: r•- <br />....... .. .. ........ . . . . <br />� . y� �- � <br />... . <br />. .....- �-- :....................._�?.:.. .... ...-- � -................... . \:..i.. ... :::....:...._ <br />� ' per' endent <br />LABOR AND MATERiAL USED <br />�. Size I <br />--- <br />........................... �:.ead Connection Complete <br />............ <br />_..... ......................._......_ Saddle Complete <br />;� -. <br />. . „ . ........................................Pipe <br />� ,,, <br />........ . ........................... . _._..... _.................:. <br />.......1 .........:....:'.::.......... Service Cock <br />...........:........................... Servicc Box <br />No. Hours L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />_. . ....................X........................ �� <br />. ........................ <br />� � ....................X........................ �, <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />------------ ------ --- <br />P.emarks.....:_' ......::..............:.:.:..::..........._._...................................... - - <br />Order Recei��ed ........................................................................................ ' <br />..... . <br />�Vm�k. Completed..,':.:......:._...: ,..: 11 ' ' <br />.. ........._........_:.:_.......--.` ....:..:. :.............� <br />Foreman <br />