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... .�. rn¢nc sw� O • . <br />n. �. ronM a O � i� ' . <br />CITY OF EVERETT--V(�ater Dept. <br />�, � ��� ;� �: <br />Application No.....'....'....::.. �:: Date...........' ...............:./................19:..... <br />Install.....�:':.;::......._........inch water service pipe <br />a <br />.................................................................... <br />i, <br />' ...:............................ .................... Street <br />Block <br />f .............: � , <br />_ ....:::.................._........_...... r—._\..........:._................-----...--. <br />.............._ "i — .............................�i...:�..:...1.:::: �..._� , � <br />.._. ,t :............ ........r...._........ <br />� J� Super:intendent <br />LABOR AND MATERIAL USED <br />No. I Size <br />Lead Cunnection Complete <br />Saddle Complete <br />Service Cock <br />Scrvice Box <br />.......... ----- -----_. _.--- ---------- ......... .... ............... <br />No. Hours Lsbor ..............................................Cost.................................................... <br />Cut in ....................Pavement....................X........................ . ...Sq. Ft. <br />................... . <br />� ;' � � ....................X_........_............ ........................ �� <br />....................X........................ ........................ �, <br />....................X........................ ,� <br />........................ <br />Total ........................Sq. F:. <br />_ -- ---------- --�_ �— — <br />,. , ------- <br />�', <br />P�emarks.._ .................................��.... iI.!<+.......:L.:............................................. <br />..............................................:.:_...._.:......_,.............................._........_........... % <br />OrderReceiced._ ..................................._....._............_...................._..._...... ! <br />�Vorl� Complr.tcd........__._ ....._.... __. . __._ .+i <br />I�nr��m:r: � <br />