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9. J. PPICOE 1M � � � � � . _ ' -.. <br />W. D. �ORM '.� <br />CITY OF EVERETT--`�(later Dept. <br />; . <br />: ,.. , . <br />Application PIo.._......-.:.�=_t±.:� �ate........::_. 1,L:'Lk:` �-�---.....19. :`.� <br />Iastall . ..........................�inch water service pipe <br />For . , .............................. ...._----- <br />................................ ,( � <br />........ <br />` I......_...__... <br />On _�.�.�...�.:3.�...�....... ��'? :f.'�.c:Z.-ti.._-`- ...................... Street <br />Lot..........._ -......_._........._ ................� ..... Blodc No..--...............-�-�--�--�--..... <br />�dclition .......................... ............................................................................. <br />Remarks........_-.... .......-----....... -.._ ..............................._-- .............. <br />....... - ....................................... ................................. ---._..........--- <br />................................... ................................................................................ <br />................_........... ..... _............................ - -- .......- ---...................-------- <br />... - ��-- -.. <br />.............. ............................... .................................................. SuPerintendent <br />i� <br />LABOR AND Mt1TERIAL USED <br />...._ .............I Lead Connection Complete <br />......__..._....., S�ddlc Completc <br />................................................._... Scrvice Cock <br />.......................... Servicc Box <br />.................... <br />No. ilours Labor ..............................................Cost..._............................................... <br />Cutin ....................Pavement....................X........................ ...._............_....5�. Ft. <br />....................X........................ ........................ <br />�, <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ <br />�� <br />Total ........................Sq. Ft. <br />'_ ---- �------ <br />Remarks......_ ......................................._...................._.................._.................. ; <br />....................................................................................... ...................... <br />OrderF.eceiced ................................................................................................ <br />\Vork Completed ................................-.......................................................... <br />Foreman <br />