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9. J. PHI[B4 <br /> '� 3980 ' - • y�.�� <br /> W. �. fOFM ] <br /> CITY OF EVERETT--Water Dept. <br /> Application No.,.l.:-.'.�/.�.:�..`.. Date.......�::.'...%.:':%._�,..........19�:.�- <br /> I�stall..........-,l�......... .inch water service pipe <br /> For .................................................................................................................... <br /> On .....:�C:.P',.Y..........�ir:�:��............................................. Street <br /> Lot.....................::f. ./.....:'..:.......................... Block No.....................---............. <br /> :�ddition .........,..�.:a.<..s.......u..a:c.�<.�...................._...................... <br /> Remarks �!�'t::F�,4:.._.:.:�.s.�c�::�.�..:.................................................. <br /> ..............................................................z.......................................-----................. <br /> ........................................................ ' <br /> .�1.............................................................. � <br /> ..................................................:... � Ci..................................................---....-- <br /> � k...... ' �, � , <br /> - .r�-r.�.F.... f <br /> ..........................................._.,.�..�F....iU .e..:su ....... _ , <br /> `� � JS................................ Perintendetit <br /> �7.+ <br /> LABOR-ANU MATERIAL USED <br /> No. ' Si-e I <br /> — � --- <br /> ........................._�I.eod Conneclion Complete <br /> ...................................................... Saddle Complete <br /> .........._�..::......ft............................ ..........._.............�..............................................Pipe <br /> " ' � �� ............ Service Cock <br /> ......................................... <br /> ........................:............................. Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> � <br /> �� ' i. . ' .�............._.....X........................ �� <br /> . . � . . ....... ............... <br /> , . <br /> � . . ....................X........................ ,� <br /> ................. , <br /> ....................X........................ ........................ " � . <br /> Total ........................Sq.Ft. . ,_.. <br /> -- � ---- — { <br /> Re�narks................................_...:_..._........:......_.. .................._--.............. d <br /> ............................................�.i....��...>...._s....::.::...i......................................... <br /> . <br /> .....................................................L..._:..�:..�::.:.._.........................-�---................ <br /> OrderReceiced............................................................................................... <br /> \Vork Completed...::�.:::.1..:'..:.L�...�......................'.......:_:...,.................... . <br /> Foreman <br />