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��. M,«.. „3�"'3 G . . �: - - <br /> -------.._�, <br /> w. o. ro�w a <br /> CITY OF EVERETT--Water Dept. <br /> A licntion No...�.'":......:. .... Date......... l r,, , <br /> PP ' / , ..............19...... <br /> . ....................._. <br /> Install....._�;_..................inch water servlce pipe <br /> FO[ .................................r.p._.........r.a:................_.,....................................... <br /> � � " � ' �'� .. ..L....:.....:..:.:..i. <br /> On ........._........r.:..w:...._'.:'. � ............................ Street <br /> Lot.............................................................. Block No..................................... <br /> Addition .................�............................. .......................................................... <br /> �- ; ) <br /> Remarks ......._l...r'...i.:.s:_:...:..:i.._'.�:........................................................ <br /> ......................... ......................................................_.......................................... <br /> .:.....................�.................................................................................................. <br /> , <br /> . . ..............i��.� ............................................./..�......�........�...M....................�..... <br /> ...i.f.4..........................................................��....�..�...../....,.............................. <br /> " Superintendent <br /> LABOR AND MATERIAI. UBED <br /> _No. Size <br /> ...................................................... Lcad Connectlon Complele <br /> ...............................'.................... Snddle Complete <br /> ....J..::....sa........:'.:............. ...._:��....:..:....................................................pice <br /> ......................�........;�..r.............. Service Cock <br /> ...................................................... .iervlce Hox <br /> No. Houra Lsbor..............................................Caet..._....................................---........ <br /> CutIn....................Pavement....................X..............._....... ........................Sq.Ft. <br /> i � �, , , , � �� <br /> .. . . . ...................X..............._....... ......._............... <br /> . � ...................X..............._. �� <br /> � ...... ........................ <br /> ....................X..............._....... �� <br /> ........................ <br /> Total ........................Sq.Fl. <br /> --....._�.. ....... �. <br /> Remarks........................... .....:�...t.: 1..::..:...�.�,........................._........ <br /> ....................._........................'......:�..c...i........_::........... . <br /> ....... . P . �'........+.:..f...:.�_................................................ ` <br /> OrderReceived.............................................................................................. <br /> Nork Cam leted..l.:.....:.:_..`:......:.:...:..........................�...:............:........... . <br /> Foremen <br />