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L 1. •111[1[ / / � ! � •• /��� <br /> W a.� CITY OF EVERETT--Water Dept. <br /> -r L• 7/ MAR 1 196 <br /> Date.........................2......................19...... <br /> Install........�C�ch water service pipe <br /> For tJ...... ..... ........'. .... ..4-?::L. SO. .................. <br /> On .........: ...!! _ ...!E......... ..1.... .................................._....... Street <br /> Lot..................... ...... Block No..........._..................... <br /> Addition ......................................... <br /> Remarks ............................................................................... <br /> ............._...»... <br /> 7 ...:.......... .. ......._......................................_........_.._......_......_._ <br /> " ..................................._..............._........_...... <br /> .................................................................. _... <br /> c <br /> ...�.........�.-:..... _......... .. ................................................................................ <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No, Size <br /> •_ ••.___, <br /> ..................... Lead Connection Complete <br /> Saddle Complete <br /> ..tL_.._.._.._......_..... .............................._.......................................Pipe <br /> ..............».._................................. Service Cock <br /> ..........»..........._...._........_. Service Box <br /> ...................._...................... ..............................................._.............................................................. <br /> No. Hours Labor.............................................cost.............................._.._.............. <br /> Cutin....................Pnvcment....................X....................... ......_.._.._.......Sq.Ft. <br /> ...................X....................... ......._.........._... N <br /> ....................X....... <br /> ................ u <br /> Total ..............._......Sq.Ft. <br /> .................... ................ .. .. ......... .... ........... <br /> ................................. ...........................................................................—.............. <br /> OrderReceived.............................................................................................. <br /> Work Completed................................... _.._ ... .. <br /> .................. <br /> Foreman <br />