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9. J. PflICB� RM' �� ��� . •. - � <br />•�. O. fOFM ] r � <br />v �'i uC7 <br />CITY �F EVERETT--Wate: Dept. <br />., . : , ; / <br />Application N'u........:."..:.'.::: ��Date.... J.: .�.['.—.U..l......_� -....19C["� <br />Tastall .....................,_......inch water service pipe <br />r��• ................. � ........... . .. .........`- <br />.. ............ . <br />/� y�� � ............. <br />On _::.��o.�.�_.. ...�-L7.'c'.=-K'J=(.. 1..._-.....1...._........-�-�--- Streat <br />Lot- - �� - ............_ ................ - -� -...... Block No........-- ...............------ <br />Artdition ._......._ - -- --- .............. <br />P,emarks ............- --- ............ .. ............. ............. . ...............................--- <br />Superintendent <br />I.AEOR AND MATERIAL USED <br />No. <br />'...ead Connection�Complete <br />Saddle Complete <br />.......... _. _ ................ _ _..................................... P i p e <br />Servicc ^ock <br />Service Box <br />�� <br />ATo. I-Iours L36or ..............................................Cost.................................................... <br />Cutin .............._....Pavement...................X............._......... .........................",q.Ft. <br />....................X....................... �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X.................._.... ,� <br />........................ <br />Total ........................Sq. Ft. <br />— ----------- <br />P.emarks.........._..___- ................................................................................-- <br />.................................... <br />Order Receiced..... <br />\Vork Campleted.. <br />�Foreman�� / <br />