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/,� �� E _ ,� c XG, <br />M. O. IOIIM ] <br />�CITY OF EVERETI'-.Wat�r Dept. <br />Application No..��d N!�...... Date ...............................:3` �- Y <br />.. ..........19�'.... <br />Install .............................. .inch water service plpe <br />For........................................ .................... <br />� .................................................. <br />on .......!Lc3........�.:.......-'..,l�.......�:�r•t :.................... <br />........ Strcet <br />L��t ..................................... ....................... Block No.................................... <br />Adciition.................................................................................................... <br />..... <br />emarks ...,........ <br />............................ <br />...... .............................................. . <br />� �L: � _ ...... <br />..... ...................................... ...................................................... <br />...... ... ........................................................................................ <br />- ... ... ........................................................ <br />�... ...... �........... <br />........................... ........... ............................................... .. . . <br />.._. <br />�. ..:.����.".�.'.^.,�.-... <br />Super,jn��jj� <br />�k,l � <br />LABOR AND MATERIAL DSED <br />ILend Cnnnection Complete <br />�.._...� Snddle Complete <br />................. .................... .................................1'Ipc <br />5crvlce Cock <br />Servlce Hox <br />......................•I .. <br />� <br />�n� <br />No. Houre Labor ..............................................Coal............................. <br />.......... ........... <br />ut in ....................Pnvement....................%........................ <br />........................Sq. Ft. <br />....................X........................ . �� <br />...... _ ............... <br />m <br />................ ........................ .� <br />� Totel ........Sq. Fl. <br />................ <br />Remarks............................................................... - <br />.................— <br />........................................................................... <br />................................................................................... <br />OrderReceived ....................................................... <br />\Vork Campleted ................................................_.. <br />� <br />� <br />...................... .. <br />Foreman / <br />