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B. J. PRICOC RM /���� • L} � rY � <br /> W. O. fORM ] <br /> CITY OF EVERETT--Water Dept. <br /> " � ., �, <br /> .. _� " ; �,/� - <br /> Aonlication N� _ .'.. Date..;.... l.�.�..�..................19. .� <br /> • - fV K. <br /> Install......................<'L:...inch watcr service pipe <br /> For ....................................�..�._..._........................ ......................../..'.................. <br /> On .......�.��..1'_,�....._c.rC`.]:1'C..:J".:l.:C.�.:t,::s�.[:«f.:...... Strcet <br /> Lot.............................................................. Block no.......---.......................... <br /> Ad�lirion .......................................................................................................... <br /> Rcriarks .. ...................................................................................................... <br /> ...................................................... ................................................................... <br /> ................................................................. .............:.......... ......................... <br /> ....................................... .. _ .............................._.......--......_.... ................. <br /> ................................. . . .... .......................................................................�--...... <br /> Superintendent <br /> LAIIOR AND MATERIAL USED <br /> No. Siu I <br /> -- -._.--- — --- <br /> ..._..._......................_.................._ Lcad Connectiou Complete - <br /> . ..._....._..._'� SodJlc Completc � �. � <br /> .._........._..................... .. <br /> ......................ft............................ ........................................................................Pipe �. <br /> � ...................................................... Servicc Coc�: <br /> ...._..............._...._......................... Scrvice Bux <br /> No. Hom�s Labor...................._..........._...........Cost.................................................... <br /> Cutin...._._.__.....Pavement. _................X........................ ........................Sy.Ft. <br /> ....................X....................... �� <br /> ....................... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> Total .......................Sq.Ft. <br /> ------------ ---- <br /> Remarks....................................................... .................................................... <br /> _. ................ .. .. ................................................................................ ................. <br /> .......................................................................................................................`- <br /> Order !?ecei��ed............................................................................................... ( <br /> lVorkCampleted.............................................................................. .......__ <br /> Poreman <br />