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. , <br /> 9 J. PRIEp[ � � � � � / ( <br /> W. b. �OIIM ] � ���/ �'f <br /> CITY OF EVERETT-.Water D�pt. <br /> .. , �, <br /> Application No....-:._�..�.�.v Date............_AEG G......155�...........19...... <br /> / Instal .............................incl� water service pipe <br /> . <br /> For ..... ....-_K::.1.'1....... .'L.C�GL '� �' ' <br /> , . <br /> ... . ..,:......:..:............ . ; , - , �..� i <br /> .............................. <br /> On ............... . :.�_.�............................ ......................... Street <br /> ............. <br /> Lot.................................�--......................... Block No...........--•--..................... <br /> Addition <br /> ......................................................................................................... <br /> Remarks ............... <br /> ........................................................................................... <br /> ........................................................................................................................... <br /> ............ ............................................................................................................ <br /> .........................................................................................................................�- <br /> ...................................................................................................................... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> _ No. Size ( <br /> — —r-- <br /> ................................................-- I Lcad Conneclian Complete <br /> ...................................................... Saddle Complete <br /> .......................1t..............._...........I ......_...............................................................Fipc <br /> . .._................. ...._... ............I Scrvice Cock <br /> ....................:....... Scrvice Bux <br /> ..................... <br /> No. Hours Labnr.........._.............................._..Cost........................ <br /> .......................... <br /> Cutin.............._._.PavcmenL...................X....................... ........................Sq.Ft. <br /> ................ <br /> ....X........................ ........ �� <br /> � � ...................X.__................... ................ �� <br /> ........................ <br /> �:c� _ �S� ....... <br /> , ....x........................ <br />� ---- ----=- Total .....Sq.Ft <br /> .................. <br />� Remarks.......................................................... <br /> .................... ................................................... ................................................ <br /> ....................... ..................................................................... / <br /> ............................ <br /> OrderRecei�•ed................................................... , <br /> .......................... ................. <br /> \Vork C�n�pleted.................................................................. ..........__..... . <br /> Foreman <br /> I <br /> .:.3i:.. . . . :..i{;:,-�. <br />� {_ <br />