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6 J. �RI[\� /g S 2 1 ` ' /�� l / <br /> W. �. IGRM ] � � .J� <br /> Ci�[Y OF EVERETT--Water Dept. <br /> !-�--�,/- <br /> ..Ap�}ieeEiott No.../../...L?.S.J� Date......::.iit-•1.....l,906....................19...... <br /> .� Install..............................:inc}� water service pipe <br /> / <br /> For ...�... .�.�r.:......1. : �., ..�-..��..:. ........................................... ..... <br /> . ... <br /> On .............:.�.��.:'�...---.........---...Y.1.'[:.t..7.:L.�..:�.::.C..:�.cL.:r...... Street <br /> Lot.............................................................. Block No.............................---�---- <br /> A_dclition ........................................................................................... <br /> .............. <br /> Iiemarks ......._.......:.................................................................�--.............. ...-- <br /> ...........................::.....:....................:....................................................................• <br /> .................:.::...:.........�.............::......:................................................................... <br /> ................................................................................................................... <br /> .... .................................................................................................................. <br /> Superintendent <br /> LABOR AND MATfiRIAL lJ3ED <br /> No. Size � <br /> .... . ....................................... :.ead Connection Complete <br /> ...................................................... Saddle Cemplete <br /> ......................ff............................ ........................................................................Pipe <br /> ..................................................... Servicc Cock <br /> ...................................................... Service Box <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tutal ........................Sq.Ft. <br /> ` ------- --- ---- <br /> Remarks.............................................................................................. -_ <br /> .................................................................................. ...................................... <br /> ............................................................................................................................. <br /> OrderRecci��ed............................................. ................................................. <br /> � \Vork Completed............................................................................................ / <br /> Foreman � <br /> { <br />