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g, J, pRICBC ]M I � � � � ' <br />W. p. IOPM ] <br />CITy UF;,EVERETI'--Water ept. <br />�_' :� ' 1�c.>��,_/............is.�� <br />Application I�o ......................... Date.......:.,���:............... . <br />lnstall ..........................i/..inch water service piP� <br />For........................ ............ ...............�;.................. ................................. <br />F�/:1:7.c���.:� .:::..... ...................... Street <br />On ........:..�...�.��..;....�...... <br />Lot .................................... .� -� ...._...... <br />........ Block No ..................................... <br />Addition ..........................._....._...... <br />............................. <br />.................................. <br />Remarks ............................................ .............. <br />- ................. <br />................... <br />�w� <br />� <br />........................... <br />LABOR AND MATERIAL USEB <br />;,e�� Connection Complr.te <br />gaddlc Completc <br />........... _ ...................................... <br />Scrvice Cock <br />Scr�ice Box <br />Superintendent <br />.................................................... <br />...................... ............................... <br />-- w��..........._._. <br />� L�bor .............................................. <br />Sq. l. <br />No. Hours ........................ <br />........................ �� <br />........................ <br />Cut iu......._...........Pavemcnt ..............._.._X.....................-' ,� <br />........................ <br />....................X.......................- ,� <br />..��-- <br />....................X........................ _...S9. Ft. <br />Total ................... <br />Reinark.s .............. <br />. _ ............ _ .................... . <br />. , ........... <br />Order Recetceu.._ .......................... <br />�Vork Comoleted ..................................... <br />..... . <br />........... ....... <br />Fareman <br />