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�3� 6— ���/ <br />W. O. Ip11N ] <br />- CITY OF EVERETT--Water Dept. <br />APolicacion No...�.J3'�G .j- /- <br />...... Date ................................................19.�^.'� <br />Install ...............................inch water service pipe <br />For.................................... <br />............ <br />.. ............................. <br />On ....4�.1.......���:.......�:.".1,.� <br />.. ............^.-n �.-....................... <br />Lot.............................................................. Hlock No................ <br />Acidition..................................................................................... <br />Remarks.,.... ................................................ <br />�l� o., ............................. <br />......................_�........................................ - ...__ _ <br />Street <br />LABOR AND MATERIAL USED <br />No. SI>w <br />......................................................I Lend ConnecNon Complele <br />...................................................... Snddle Complete <br />.......................tl. ........................... ................................................. ......................PiPe <br />................................... ................. Service Coek <br />...................................................... Servlce Hox <br />No. Houra Lsbor ..............................................Coat................................................... <br />Cul1n ....................Puvemenl....................X........................ ........................Sq. Ft. <br />....................X........................ .� <br />........... ............. <br />....................X........................ �� <br />........................ <br />....................X........................ .� <br />........................ <br />.�� , <br />Totel ........................Sq. Ft. <br />Re � : � a rks .......................................................... <br />... ................. _ _ <br />� <br />OrderRecetved .............................................................................................. <br />\Vnrk Campleted ................... <br />............................. .. _ ....... ........... <br />- ....... _ .. � <br />Foreman <br />