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q�c�:,"'34c '':� ,4 � <br />,9 rz y <br />W. �. fORMC] C � � • V // � / / <br />::ITY OF EVERETT--Water Dept. <br />, i, � � <br />� � <� . �i ��.. <br />A�plication No......_...._.......... Date.........:trv......�.. iSul ..............._19...... <br />7nstall ..............................inch water service pipe <br />..:.` _'' "' <br />For .....�, ` . ' .....::� . ': �-1' <br />................. .....-� - --............................................... <br />........_-- <br />� ' �-;_�_�, , � <br />................... ' ^ <br />On . �........_ .........................:.'..:t...:......_........... -..._....... Street <br />I,at .............................................................. Biock No..................................... <br />n�iclition ........................................................................................................ <br />Remarks...................... .................................................................................. <br />_ ... ._ ............................._......................._............................................--� .... <br />, Superintendent <br />LABOR AND 1MATERIAL USED <br />No. Size <br />Lcad Connection Cmnplete , . . <br />/ <br />Snddle Complete : % ,.,, j, c:,:'- ' <br />..........................................:............................. P i p e <br />Service Cock <br />Ser:�icc Box <br />No. Hours I.abor . .........................................Cost.............---.................................... <br />Cutin ...................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />.._ ................X..._......__......._ �� <br />........................ <br />Total ........................Sq. Ft. <br />_--- ---------'- <br />Re� na rks ............................................................................................................-- <br />Order Receiced......... <br />\VorY. Completed....... <br />...................... .................. ........ .. <br />....... .............. ........................... .... . ....... <br />��. <br />........................ ......_........ . _. ...:... .... .. <br />Forem;�n <br />