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O. J. PHICP[ 3M/���0 • � `�•e� r� �. <br /> W. O. fOqM ] <br /> CITY OF EVERETl'--Water Dept. <br /> :': �' ' ° �-• r <br /> rlpplication No.. .:.....-...`..::':' Date........�._. �,.4.2LC�.�......19..Y� <br /> l:utall........................... . ncn water service�ipe <br /> F<,�• G a /e <br /> ..................................... ....................... .. <br /> � 3(.' � - r, �--�..:.......................................... <br /> , , . ;: <br /> On ......... .... ... _:.�......_�...�:.*..5-�-�r:...--- Street <br /> Lot......... ...........................�....................... Block No...................................-- <br /> Adilition ._.......__................................................... ............... ........................ <br /> Remarks ..................................................................................... <br /> ..................... <br /> ............................................................................................................................ <br /> �_,........ ......... _..........................--..................................................................... <br /> /'� C�o <br /> .............. .P.................. ....................................................................................... <br /> /p.-.z�.-..�5'..... ...................................................................._........... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> _ No. _� Size I <br /> — – _ <br /> --- — — <br /> ..................._......�...........................I :.cad Conneclion�ComPlete <br /> ........................._...........................- .�'.addlc Com�lete <br /> .......................f t............................ .......................................................................P i p c <br /> ....__......................_......_.............. Service Cock <br /> ...................................................... Service Box <br /> ............................._...................... <br /> . ................................................................................................................ <br /> ..........................�.............._.......... <br /> . ................................................................................................................ <br /> ........................... . ...................... ................................................................................................................ <br /> No. Hours L�bor._......._............._...................Cost........._... _................................ <br /> Culin_.__...___._.Pavemenl....................X_...................... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ......_........_..%........................ ..................._... .� <br /> ....................X........................ ,� <br /> ........................ <br /> Total .......................Sq.Ft. <br /> ----- ------- -----= <br /> Rema rks.......................................................................................................... . <br /> _. _............................................................................................................... <br /> ......................................................................................................................... <br /> OrderRecci��ed............................................................................................... <br /> \Vm•k Completed.............................................................................._......... .. <br /> Foreman <br /> c�_ . <br />