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b: J. "PHIC�.�M � � � � • � <br />v4 O. lOfl��iii /'?j <br />� 'CITY OF EVERETT--Water Dept. <br />Application No%.�.r�.f......... Date.......J�;f.;:.:.:...:�`.:. J <br />..............19 "..f <br />7nsta1l....:t :.......................inch �vater service pipe <br />For .........��.�!'�1�:: t,���:..- ............. <br />............ .. .............................. <br />.� C�`I.�l. i_ u, { -�i .�, � " . <br />On .... �.f.:t:xr.rr..�. ��-=�--.J_ �.LY: �:�::.t :.................................... Street <br />131ock No ....................�--.............. <br />�ddition <br />Remar}cs ..._%1"�:�i^c._!,G.:: _:::_:._t..::....:::,r..-:�s:.l.�..::>: .: <br />--...-----..... <br />—::�: �� ................-...............................................-�----...............---........... <br />� <br />�� - - <br />� <br />....................................:%�:....U.%.�.�:: � ............ <br />Superin�ndent <br />(�:� �:� ' � ,1r��(,L.1BOR AND MATERIAL USEP <br />No. "� � Size I � <br />..............I Lead Cm�� �. �tvu Complete <br />_............ Snddle Cort:�,�ete <br />............. ........................................................................Pipe <br />........... Service.Cock <br />...,........ Servicc Box <br />� <br />No. Aours Labar ..............................................Cost.................................................... <br />Cul in ....................Paver.ient............_.......X....................... <br />........................Sq. Ft. <br />, � .r <br />h'e/., r:, r c- ; iPc ......�........x ........................ <br />�.,, „ <br />fl r. . ......._ ............... <br />t� -� c /. ....................X........................ <br />........................ <br />' x ........................ „ <br />.................... ........................ <br />J � � �� Total <br />........................Sq. Ft. <br />Remarks...... ........................ .................................... <br />...................................... <br />.......................................................................................................................... / <br />--.._------........... <br />OrderReceived ................................................_ ..........::...:.........._......._. <br />.... <br />� , <br />. . „ - :�--_ .._--- � �:r...,,. <br />_. <br />Nork Completed ........:..:..L::.:..'.r.:...:..................................::c.-.-.`:.:...:?::..'�':.°.` <br />i Foreman <br />