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9. d. PRI[DE ]M I�� �� .• l/J l� �j <br />M'. O. �OHM ] <br />CITY OF EVERETT--Water Dept. <br />Application No.........._« `.'._ ._. ;�Date......._- : ...!!>��-:..�.._...--19.(�`,� <br />lastall .......................�,�inch water service pipe <br />For.............................. .. ,. <br />. <br />' ,'"..� .......................... ............. <br />. . ........... <br />.-. <br />On .....:.�....�,�:. . ..y:.:.L�.:�,i.L��..(�f��,......... -_.._... Street <br />Lot........................................ ..................... Block No. .. ---............................. <br />Addilion ......... ................... - - ........... <br />......................................................... <br />Rcmarks ....................... -- - - - ------ - - <br />.......... <br />.......-- - ........................ ._.--.....................................................- �------....-� - <br />Superintendent <br />LABOR AND MATE2IAL USED <br />ho. I Size <br />.............. . I Lead Connection Complete <br />..............___� Saddlc Cnmplete <br />......................... P i p e <br />Scrvice Cock <br />Scrvicc Box <br />............................. <br />............................. <br />No. Hours L�bor ..............................................Cost............---..................................... <br />Cutin.......___.......Favement .............._....X................_..._. ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................7i........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ....................._.Sq. Ft. <br />_---------- ----- <br />-_-- — <br />P.emarks............_ ......................................_................................................__ _ <br />..................................................................................................�---•-�---........ _.. <br />OrderNeceived._ ......................._................_....................._......._........_...... e <br />\Vor}: ComplMed ........................_......_......__.._._. .........._................___. [ <br />Foreman <br />