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� /139i° -- � <br />w. o. roww a - <br />CITY OT EVFRETT--Water �Dept. <br />ApplicationNo..._��.:..;:C/. Date.......:.:'...:.1� ......................_...1�J�... ,. <br />Instnll ...... ........................inr.h watet service pipe <br />For ��'1F13 -.. �U�...... �� c nli <br />....... .......... . ..... ....................................... <br />�' '�� � w' Street <br />On ....::............................................�+......................................... <br />Lot.............................................................. Blocic No..........................--....... <br />Addition....................__.........................._................................... <br />_ _.......... <br />Remarks..................................................................................._. <br />............_..... <br />................................. <br />....... ......_...- - -- <br />_ .._ ............._........................._.........._.............................................._........___ <br />_....... _ ............................................................................._........................__ _ <br />Superintendent <br />LABOR AND MATERIAL i13ED <br />��..__�..��.� ..........................._ � Lcad Conneclion Complele <br />..........I <br />..................................................._. Saddie Complete <br />.......................ft....._.................... ............ _............_......................_.................Pinc <br />....................... ................... Scrvice Cock <br />.... .... ... <br />..................................................... Service Hox <br />.......� ...................I..�..........._�...�.......I �......�.�.��.... <br />................................... ...... <br />................. <br />No. Houra Lsbor .............................................Cost..........................._...................... <br />Cutin ...................Puvement...................X........................ ........................Sq. Ft. � <br />... ................X... .................... .. <br />....... _ ............... <br />.._ ................X........................ �, <br />........................ <br />...................X........................ �� <br />........................ <br />_�-'�.s-�:- _.�. <br />Total ........................Sq. Fl. <br />_-- _ <br />Remarks....... _ .. ..........._............._....................... .... .._.... ........................... _ <br />. .. ...................... .................. ........................................................ <br />.........................................................................................................�--...... ...... <br />OrderReceived . ..............................................................................._....._.._ I <br />\Vork Comp]eted.__ ..............._._.. ..._.. ....._._ . . _ .... .... ._ ...__ .... . <br />Foremnn <br />