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tL .1. PPIEOC ]N�G� � � �� . 1 j � � / <br />W C. (OfIM O � I <br />CITY OF EVERETT--Water Dept. <br />A lication No ...:.:..............:.. Date.....:...:..'_... . / <br />� , i . � _, ; - <br />PP .. . .' . ...:.::.......::...........19.i --- <br />Insta�l .....::...:....:..:............inch water service pipe <br />For............................................. <br />.............................................................. .. . <br />.�.. . ..... <br />� � .;� �' � � <br />On .........._� .�. --' r� =>� .. Street <br />............................................................... .•--.............. <br />Lol..............................l.�_.`.'. ! -................ Block No.. ......... ..................----- <br />Addition.............../.......................................................................................... <br />retnarks...........................................................................•--....._...----.._........... <br />...... � <br />� � ,��-� .................. <br />_ .,:...... , <br />.._.... <br />,, . ........................ <br />J % j- , <br />....... ... ........._ _ _ _ <br />�' <br />� � Superintendent <br />�.� <br />LAB02t AND MATERIAL iJSED <br />No. I Size i � <br />...................................................... Lead Conncction Complete <br />..................................._................. �addle Complele <br />��.'�.St...... <br />.................... ................._...., .................................................... <br />.....................................................� Scrvice Cock <br />...................................................... Scrvice Bux <br />..........Pipc <br />No. Hours L�bar ..............................................Cost.................................................... <br />Cut in ....................Pavement.._...._._.......X......._....._........ <br />........................Sq. Ft. <br />....................%........................ �� <br />........................ <br />..... . ............X........................ „ <br />........................ <br />.....................{........................ ........................ „ <br />'1'otal ........................Sq. Ft. <br />----- �------- -- ---�----�.---"-- ---- <br />RemarIts..___ ........................................:.:.._..... ---- - --- _ _ <br />...................................................:..........:..................................... .................. <br />prde: �eceie�_d ..............................._......_ ...................._........_..�.......-- <br />1l-nr�_ Completed .........:............_................_.._ . ._....._......_......�`:....... <br />Fbreman <br />. ., ..�.. . . . , .. _ . . , . �.-. � . <br />