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' _�G��O - — .:./_ �� !/ S`_ <br />W. O. IO�M ] <br />CITY Or EVERETI'--VG'ater Dept. <br />Application No.../..C-..S.�y:�. Date.........�.......� .........................19.[ �1 <br />lnstall ..............................inch water service pipe <br />For ..................................../.. �............................._�............................. <br />............. <br />,r�/1� /-1c..t.�Sc..l..�.:.�......�!:.i._ ::::............ Street <br />On...........:.............................. <br />Lal......................................................._:�. Block No..................................... <br />Addition........................................................................................................ <br />Remarks ............................................... <br />......................................................... . <br />Superintendent <br />LABOR AND MATERIAL USED _ <br />Lead Connection Complete <br />Sadlle Complete <br />.. .... . ......... . .................................. <br />Service Cock <br />Service Box <br />..........PiPe <br />No. Houra Lauor ...............................................,..................___._. <br />........................Sq. Ft. <br />CutIn ....................Pavement....................X........................ ,� <br />....................X........................ ......._............... <br />....................X........................ ........................ <br />�� <br />....................x........................ ....................... <br />Tatal ........................59. Ft. <br />Remarks ............................................................................................................. <br />OrderReceived ...............................................................................................` <br />. . . . ..... .. '•. <br />\Vork Campleted .........................................................................Foreman <br />