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W. D. IOIIM ] ����� /. . I � / <br />- - CITY OF EVERETT--i;Ylater yDept. <br />- -.� <br />Application No.L%..:.. ;-...... Date .............�..:L..:.C.:.'�..............19...... <br />lnstall ...............................icch water sert ice pipe <br />For.................................................................................................... ... . <br />� ,�., � — .; - <br />On ...............J:_{:_-..f....�-(.�.'_:.::_..�ci i�°.:...................... Street <br />.....t ........... .. <br />Lot ........................................................ " Block No...........................---....... <br />.1d�3ition ........................ <br />Remarks _ ........................ <br />• ii,� <br />...............:.:.......................... <br />_, _ - <br />v ,, . <br />/ _...........L'....c.� .::........................................................... <br />................................... ............................................ <br />'/- _ �i - , - <br />LABOA AND MATERIAL USED <br />Lead Connection Comple;e <br />S�ddle Comp]ete <br />.................................................... <br />5ervice Cock <br />Servicc Box <br />.................................................... <br />.................................................... <br />.................................................... <br />:t <br />ATo. Hours L�bor ..............................................Cost.................................................... <br />Cut in ....................Pavement....................X........................ <br />........................Sq. Ft. <br />...................X........................ �� <br />........................ <br />...................R........................ �� <br />....... ................ <br />...................X........................ �, <br />....... ................ <br />Total ... .................Sq. Ft. <br />`�- --- -- <br />Rema rks .................................................................................. <br />....................... <br />_ ......................._......................................................_.....................- - __ <br />OrderReceived ............................................................................................. � <br />\Vork Camp�eted ........................................................................................... <br />Foreman <br />4` <br />