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♦ .. <br />9. J. PXICOC ]M /339 8 � � :. �� �� rf <br />W. O. �ORM l <br />CITY OF EVERETT--Water Dept. <br />:,..�.�, / / <br />Application No..._:..! ` '='..`.-.` �.'. Date........ �L.�/J'�[.�._1.......19..... / <br />Tnstall ........................... .�nch water service pipe <br />For. .. ....... .... . ..�. .. . .. ............. . . .. . .... .. ........ ..... ............. <br />On ._.....S�I ��....�'.Ci7'z2.��zL_:L.-� .................... Street <br />Lct................................ . ............... Block No.........--�--�--...... ......... <br />,n�ldition ......... .... _ .. .---.... .... ................................ <br />Remazks...................................... ..................-........-----........ ._....... <br />.... ...... .. . ..... .... . ..... .. . .... ... . . .. <br />Superintendent <br />LP.POR AND 11fATrRiAL USED <br />No. ' Size i . <br />-- ---. <br />— ---- <br />.... <br />T cad Connection Complete <br />....._..........._............__...._.........� Saddlc Complete <br />._ .................._ft.- ..__.........................................................---.....PiPe <br />.......................... <br />........................... ............_...._...... Scrvice Cock <br />. __._ .................... Servicc Box <br />No. Aours Labor .................._..........................cos[.._..........................._................... <br />Cutin ............. _....Pav�mcnt......_._........X_...._................ ...._'---............Sq. Ft. <br />....................X........................ ........................ <br />�� <br />. ... _.. _....... X ........................ ........................ .. <br />....................X........................ ........................ <br />�� <br />Tolal ...................._..59. Ft. <br />_ ___'_— <br />Remarks................................__..........._..... .........._............._...... —..........._... <br />................ _._.................--.........................._............._ ........._............... <br />OrderRec.ei:•ed.__ ..............................................................._---................. <br />\Vork Campleted ........................................................................:..............._. <br />Foreman <br />