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w. o. rosN a/��� • ir' <br />CITY OF EVERETT..�7tlater Dept. <br />App]ication No..C.��.."' =Z Date...... �..-.�. <br />... .... , <br />. . ...........................19..�:�. <br />7nsta1l ...............................inch water service p(pe <br />For................................. <br />/ � ...............................y........................................--- <br />On S �'4 ,� „r ' . .... <br />...:..-.......:. , <br />..........................._3. �t� <br />....r.:..:...�z�.i ....:................... Street <br />L o t .................................................... �.. <br />....... Block No ................................ <br />Add:tion ..................................................................... ..... <br />............................ <br />emarks ..__ �-••-� <br />................................................ <br />- ...... _.......... <br />......................................... .... <br />Superintendent <br />LABOIt AND MATERIqL U3ED �— <br />�T <br />Lcad Connection Complete <br />Saddlc Complete <br />...� .................. I Service Cock <br />................................ Scrvice Box <br />�� <br />� <br />__......_....... <br />No. Hours Labor .............................................Cost....................... <br />Cutin ................... Pavcment....................X........................ ...................... <br />. ...... <br />........................Sq. Ft. <br />.................... X........................ <br />........................ �� <br />....................X...................... . <br />-- ........................ �� <br />__ ............... „ <br />� —_ Total ��" <br />� --� ........................Sq. Ft <br />Remarks ..................... -�- -�--- <br />........................................................................................................... <br />OrderReceieed ............................................................. <br />1Vork Completed .................................................... ................................. <br />_ ............. ... .._.... .- \ <br />Foreman <br />