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./�'og 6 . / ���1�� <br /> w. o. ronw a <br /> � v <br /> �CITY rJF EVE�RETT--VUater Dept. <br /> Appiication No.�.�L�.�rl�.. Date..........�.':1.......................19.G:.� <br /> � /� / Tnst/al)l...................... .... i h wa r service pipe <br /> For .J.�J.�.Y....�'i.r.`r.�:� ......C�.C:� _, .�� f �; <br /> � Cr....... ��....................... <br /> � ... <br /> On .....L�:.�IC..'� �..'{ - ..�........._,.�.x<:,..� Street <br /> ............... .........a..a: ..... - < <br /> .. "" <br /> Lot.............................................................. Block No..................................... <br /> Ad�lition .................................. ....................................................................... <br /> Remarks ........................... . . ............ . <br /> ' -- �-- • • -- • <br /> ............ <br /> ...................... <br /> ................................_...........�� r:z�.;�.�4� .5<��..................................--•- <br /> �.�._Go......................... <br /> ............................................................................... <br /> C% <br /> ¢....................................................................................................................••-- <br /> ,) ...-.._�.:�..-. .7�........... <br /> .. . ................................................................................� <br /> Superintenden( <br /> LABOR AND MATERIAL USED <br /> --No• � —S¢e � <br /> ...........................I........................... <br /> V :.,ead Connection Complete <br /> ...................................................._I Sadd:e Complete <br /> .......................f t........................... ...... .................................................................Pipe <br /> .................................................... Servicc Cock <br /> ..................................................... Service Box <br /> ...........................i.......................... ................................................................................................................ <br /> ...........................I........................... ............................................................................................................... <br /> �................ ................................................................................................................ <br /> No. Fiours 1.abor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................Y........................ ......._............... �� <br /> ....................Y........................ ............. �� <br /> ........... <br /> ....................X........................ �� <br /> ........................ <br /> 1l ........................Sq.Ft. <br /> �. ---------'-- <br /> Re m a rks............................................................................................................. <br /> ........................................................................................................... <br /> ..... ................................................................................................................... <br /> OrderPecei�•ed............................................................................................. <br /> lVorkCompleted........................................................................................ • <br /> Foreman / <br />