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w. o. raew a /���0 � �! <br />CITY OF EVERETT-.Water�Dept. <br />Applir.ation No._i�-. ��'��� Date .............'.......� r,:,. <br />_... .... 19.. ..1 <br />...................... . <br />Install ...............................inch water service pipe <br />For.............. ........ ............................... . <br />...................................... .................. <br />On ....�.:..`.%l..4)...:'�:1:'..r:..C.�a...:........ <br />...................................... Street <br />Lot.............................................................. Block No..................................... <br />Addition.......................................................................................................... <br />Remarks................................................. <br />......................................................... <br />............................................... <br />........... . ...................................................... <br />........................... ................................. <br />Superintendent <br />LABOR AND MATERIAL U9ED <br />.....__........... <br />.................... <br />................ �..........I........ <br />Liad Connection Comp]et: <br />Saddle Complele <br />_ . ................. ................................ <br />Service Cock <br />Service Box <br />.. ......................................... <br />Pipe <br />No. :{ours Labor .........................__................Cost........................................._........ <br />Cut in..........._...._Pavement..._ ..............X._.................._. ..Sq.Ft. <br />...................... <br />.. .................X............ ........... ,� <br />........................ <br />.._ ................X....................._ „ <br />........................ <br />. ..................X........................ „ <br />........................ <br />_��� ,—_ Tatal ....._ .............._Sq. Ft. <br />-. a.. � <br />Remarks..._ ........................................_ — <br />_ _ ...................... .......... _........._ <br />._ _ ..... .... . ....................................... <br />_ ..... <br />Order Recened . ...... l <br />_. ... __.. <br />...._ _ .......... .... .... .. <br />\Vork Completed . _ <br />__ ... <br />..... ......._ .. .. .. .... <br />Foremnn <br />