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W. D. fONM•9� � � O + ' ' �/� <br />' � CITY OF EVERETi�'--Water Dept. <br />Application Nol:.'..f.G�.... Date.......����:...�:'.'............19.u� <br />� /7nsta1l.........::.—.'.� ... :............inch water service pipe <br />For...;�.�F....�.-1..�........�t <�t.ez,k.-.,:� ....:........................................---•-- <br />On .........c�"?�2:'�'- .=�z::�:�:r-a�z:-.?..�.' ................................ Street <br />......... .. <br />Lol ...............:.�....� :.: , <br />�.1 r ..... ±... : , , r � ; � . Block No ..................................... <br />Addition......................................................................................................... <br />' .i <br />Remarks .....l.,f..it�c::....1't_r:rG.c.z_s_......�........�zt:.....::--:..._......... <br />� � � �� LABOR 9RA MATERIAI. USED <br />Lead Connection Complete <br />Sadc�le Cofpplete <br />. � f <br />Service Cock <br />Service Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavetticnt....................X........................ ........................59. Ft. <br />� 1' i/ i i: .''.J <br />....................X........................ �� <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />iiemarks ...... ......._ ' � <br />...............1. :..........:.:......:...:................................................. <br />... ...................................................:.........i:..:.....:.:.:.::.:..: ......,.:... �::_.---.............. <br />Order Received ..................................................... .............................. <br />..... <br />. , f �=; . . <br />�Vork Completed..i_-.-.:..�:�-......:1. � ............._.:::.:..> LC::.:..::_:_ :............... ` <br />� Foreman / _ <br />� <br />