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/7�/.� 7 . - ,, <br />W. O. IOPN ] � ��(^ �I �/ <br />= - CITY OF EVERETT--V(later Dept. <br />Application Pio.. � 7/.�..�... Date..........�:�..�.�.- �: u............19...... <br />.. ...... <br />Install ...............................inch water service pipe <br />For.................................. .................f. , ........................................................... <br />On ......�r.'..S%..:.>...'�......'�.�...��..:...?..�.�..t�.4 ....:.:........................... Strcet <br />I.ot ......................................................... .. Block No..................................... <br />Ad�lition ......................................................................................................... <br />�:ernarks .......................................................................................................... <br />.................................................................................................................... ..... <br />:: ....� .......................................................... <br />...................................................... <br />,c� / V � <br />/¢ ........................�.`.: '...................................... ._................... <br />��... .. <br />e �...._ `. �LL�. <br />, <br />..... ................................. . ......................................... :......... . . . . ... <br />.� _ � � � uperm endent <br />... ..... <br />` i i� L <br />LABOR AND MATERIAL USE�D <br />No. Size <br />...... .............................. I.cad Cnnnection Complete <br />............................................. Saddlc Camplele <br />.............ft............................ ....................................................................... pipe <br />.... ...................................... Screice Cock <br />...... .......:. .......................... Scrvice Box <br />No. How�s Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement_...................X........................ ........................Sq. Fl. <br />....................X........................ ,� <br />........................ <br />..................... ........................ ............... ........ <br />�� <br />....................JC.. ..................... „ <br />........................ <br />Total ........................Sq. Ft. <br />- --- - ------ <br />Rem arks ........................................................... ................................................. <br />Order Received .................. <br />\Vork Campletcd......._..... <br />........ ....`. <br />Foreman ���. <br />