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� �� /� DZ 3- ' <br /> w. o. rnnrl! <br /> CITY OF EVER.ETT'--VU,iter Dept. <br /> Application No./��,,:.-:�'.. llate......... _.a..r.�:...r'..��:.......19Gc..,�. <br /> , <br /> Install...............................inch water service pipe <br /> For ..............�.....:�....�`..rt,_r.�...�:..............E:�._�....G..x::..=...i..i_1.:� <br /> On ...................;t3.��?.;-......•�.�_'.._%�.z�a'�1...P.:�".!�'r�......... Street <br /> Lot.............................................................. Block No..................................... <br /> Ad�iition . ........................p..................... ......................................... ............ <br /> Remark� ............��<.�.�iG...cE::1..a:�..:..-.....:���..-�ii.:.�:................... <br /> ........./...........C-............................................................................................ <br /> ...........(X...............Cl.....�:.'..:................................................................................. <br /> ......................................................................................................"..................... <br /> �`�� Z O G <br /> .....................................'....... ......................................................................... <br /> . 6uperintendent <br /> LABOR AND MATERIAL USED <br /> No. Slze <br /> ----- -- -- <br /> ---- <br /> ...................................................... Lcad Connc�tlon ComPlete <br /> ._.....................................__ ......... Snddle Comptelc <br /> .......................ft............................ ........................................................................PIPe <br /> ..................................................... Service Cock <br /> ............... <br /> .......... .......................... Service Box <br /> ............� .............................................................................................................. <br /> No. Houra Lsbor.............................................Coat.................................................... <br /> Culin..._...............Pevemunt....._............X........................ ........................Sq.Ft. <br /> ....................X........................ ......._............... �� <br /> �� <br /> ..�.................X............�.'.....�.. ........................ �� <br /> Total .......................Sq.Ft. <br /> Q..� — _ ' <br /> Remarks..................................................... ........................ .............................. <br /> ............... ................... .................................. ........................................... <br /> ........................................................................................................................... <br /> OrderRecrived............................................................................................. <br /> \Vork Completed...................._......... .... _.... ..._. . . . . . . . ...... ..........._ .. / <br /> Foremnn <br />