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B.�J. Pql[11[� � � �� • (),�� <br />W. O. (ORM � /' `, <br />CITY OF EVERETT--Water Dept. <br />Application No.l,1,.y,.:�. Date.........�:.Z.:..�.....:.=.::'.`.:_--........19.:::'. <br />1�sta11..... � ............... .inch water service pipe <br />For .......,i�'.�..iy�... je/G..�.._�...,�c�.>x..��..:4 :............................ <br />On ..........._�'./.2.�.....e.?:`.��_�.u.:o.:n::aV,rF'.c .............................. Street <br />. <br />Lot.......................1......---.........................:... slook r'o..................................... <br />Addilion ................................. <br />�� <br />Remarks ....�J':C.4s:�:..: --:. <br />�;-� i. <br />............. _:...:..1 t. .........:.:. <br />;' • <br />LABOR AND MA2E67AL USED <br />� <br />T c�d Connection Complete <br />. Saddlc Complete <br />... ..................:..:..................................................Pip: <br />.....................:..... _....:�..�v:............ Scrvice Cock <br />.............................................._..... Servicc Ho±c <br />....__...i ..........................� ....... <br />No. Hours Labor ................. <br />Cul in..._.......___..Pavemen <br />R em a r ks .............. <br />.............................Cost ................................................... <br />t....................X..............._....... ...................... .Sq. Ft. <br />....................X........................ ......._............... .. <br />...................X........................ �� <br />........................ <br />....................X........................ .. <br />........................ <br />Total ........................Sq. Ft. <br />....._....�� �:.:.... J.r:.�:...'..:__ ....................................... <br />i, ,,. . _...,. <br />OrderReceived ............................:................................................................ <br />\VorkCompleted. �..Z...::..5..:....:.:.'..;t ................: .,�.i.., <br />. .[� ✓ C- --'.t.s.e..........._..� <br />Foreman <br />