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� 13441' ija' � l <br /> 9. J. PRICO[ 4M 1 � � � ,� <br /> W. D. fORM :1 <br /> CITY OF EVERF,TT--Water Dept. <br /> , ;' =� ^ � ; <br /> . -- - . <br /> Application Ao.�...._.:_...... .. . Date.......L., 1L�4-.�..........19. .� <br /> Install..... _....... ........� .irch water service pipe <br /> Far ....._........._......._.....�.�.�C...........,r.... ............................ <br /> 2 , . . .......... <br /> � <br /> On .......... ..J.a.���.....�'�:.¢��...� ...���e.cG[�%. Street <br /> Lot.............................................................. Block No..................................... <br /> :tddition ......................._................................................... <br /> .............................. <br /> Iicmarks ........................................... <br /> ............................................................. <br /> ......... .........................................� �---............................................................. <br /> ............................................................................................................................. <br /> ................................................ ....................................................................... <br /> .................................................................................................................. <br /> Superintendent <br /> LAAOR AND MATE:tIAL USEII <br /> Nu. i Size I <br /> --- ------• <br /> -- - <br /> ..........................�...................... ..I Lead Connection ComPlete -- - <br /> ............._....................._................ Snddle Complete <br /> .......................f t.....................:..... .......................................................................Pipc <br /> . ............_.....___............._............ 5crvicc Cock <br /> ._................................................... Scr�ice Box <br /> PIo. Hours L�bor.............................._. ..........Cost.......................... <br /> .......................... <br /> Cutin..._...............Favement....................X__................_.. ...... ........_.......Sq.Pt. <br /> ..................._Y........................ �� <br /> . ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ .� <br /> ........................ <br /> Total ........................Sq.Fl. <br /> — -'--- ----- <br /> --- <br /> R e m a r ks.............................................................................................. <br /> ............... <br /> _ . ...... ....... .............. ........................................................................................ <br /> ........................... ............................................................................................... <br /> Order �?eccit•ed....................................................... .................................\ <br /> \Vork Completed.................................................... . <br /> ..................... ............ .. <br /> Foreman <br /> c <br /> "�'.L <br />