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S I.R�eMfM1.163955,2 �3 3 ✓V�'. <br />W. D. Porm I <br />CITY -0F �EVERETT--Water Dept. <br />Application No..ol.�� 3... Dat ..........._ .............7 .-�--•f•--....19.�/ <br />/� Install.......... �_'Y........inch w er se.vice pipe <br />For...._.......u.[..�.t........- - ..................�--.................. <br />on ...............�0..1?..3....... ...... - . -.- �.---........ <br />............. Street <br />Lot................ �._................................... Block No.--•---�--�....��.�....._.......... <br />Addition ......... .......................,...p............................. ... .....•--- ...... ......... <br />. <br />Aemarks ......�����•S/.l?:�5..�.........."....... . . .. . e�� ./..."... <br />�..r � „ <br />yr.� ......C... .v.,�� ...............................................................................••---...... <br />� - - -- ...................... -� ------�-----...........--�-•--�-.....�s.....� " <br />'7.: -5... .7.....---- ....................----------............ <br />LABOR AND MATEBIAL IISED <br />Size � <br />........................I Lead Connection Complete <br />........................ Saddle Complete <br />........................ . ....................................................... <br />....................... Service Cock <br />.__ ................. Service Box <br />� <br />No. Hours Labor .............................:................Cost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />�1 �' _ � ....................X.........-'-........... ........................ �, <br />i <br />F�� ....................X..........._........... ........................ �� <br />z � � �.r� G �� ....................X........................ ........................ ,. <br />Total ........................Sq. Ft. <br />� i/" . ;�.%,;;,� <br />.........5 ..........:.......... _...............:: <br />�. , � <br />OrderReceived ............._...........................................:..:..,..i..................�...... <br />`^ �/ f! '� .........: . ; r ,� ;. � , � ,. <br />\Vork Completed..�'..'d.:_�..':...`..�.......... ......�..t.._! ............:..`�..... <br />Foreman <br />r� <br />