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4. J. r�PICBC ]M ��� �� ^ • . � � <br /> ��. O. 1 OFM ] <br /> CiTY OF EV�RETT--`X�ater Dept. <br /> r� : .h -. <br /> :_ V t �� �y / / <br /> ' �PFlicalion PIo...__....... ... .... Date.............�.�Lf. .'%.�_.....l.....19...t(/� <br /> ` InstalL..............................inch ��ater service ripe <br /> r��• ......................................... . .. . . ............�....._..... . . <br /> J `� Z 7% <br /> . ...... ... .... .... . . <br /> .. <br /> On .............I_........_.............. .1`."7.�.G���::.7_L::G.-c:s:..,,.L reet <br /> Lot.............................................................. Block No..................................... �': <br /> °�Idition ..........................._...................................... .................._. � <br /> Remarks .................... ..............................................._....................... <br /> ........... 1 <br /> ....... .................................................................................................................... <br /> . ............................. ........................................................................................ <br /> ......._........ . .. ___. .............................................. ..............................-----• <br /> Superintendent <br /> LABOR AND MATERTAL USED <br /> --No.---'--Sizc ---"------ — - — <br /> ...........................�...................._.....I Lead Conncclion Completc <br /> ......................................................' Saddle Com�+lele <br /> .......................f t............................ ............._._......................_........................_....Pipe <br /> ...._............_............................._.. Scrvicc Cock <br /> ............................._....................... Scr�rice IIox - <br /> Nn. How�s L�boc....._._...._.............................Cost.................................................... <br /> Cutin........_._._....Pavemcnt.........._..._...X................__.... ................._.....Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> T��tai ........................Sq.Ft. <br /> ------- -----'---------- <br /> Rentarks................................................................._.........._ ...................._...... <br /> _ ._......_..... ....__.........._............................................._...................................... <br /> ...................................................................................................................... <br /> OrclerRecei��ed... ........................................................................................... <br /> \�'ork Completed......................_ ........... ............................................... . . <br /> Foreman <br />