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�.. �yt ] <br />R. J. aPICBE '�N �� ��� I f [. <br />W. O. IORM J J� <br />CITY OF EVERETT--W'ater Dept. <br />,, : . r, <br />�.,�. , � � ,� <br />Applicatiion No ........................ Date......�%�`.... . .......19�2. <br />i7sta11 ....................._,!�. .inch •.vater service pipe <br />\For .................!..�{ ........ ........... ............. <br />.................... . <br />/ / /�L� .. :................... <br />... <br />� ���'�'On .....:.� 9c�•!-.. _L1.:1:4`'S.�L......!�J- ..� .................... Street <br />Lot...............__.. ._ ..............._--............. Block No...........................-----�- <br />Adclition..._ ..............................._..................._...............................---............ <br />Remarks............................. ................... ................................................ <br />_ ................-. _.................... .... - --... - - - - --- - - - _ <br />_ ...................._..........--............... ---- .._..._................................................. <br />................................................... ..............................�-- - - .......---...... �----..... <br />Superintendent <br />LABOR Al\D MATERIAL USCD <br />No. i Size � __ <br />Lead Connection Complete <br />Saddle Complete <br />......... _ .................. _ _..----..... . .........................P ipe <br />Servicc Cock <br />Scr'.ice Box <br />... _ ........ ......_........................._..........._......... __..... <br />................................................................................ <br />....... � .......................................'................ ..... _....... <br />No. Hours L�bor ..............................................Co;t.....---............................................ <br />Cutin ....................Paveaicnt....................X........................ ..._....................Sq. Ft. <br />....................X....................... �� <br />........................ <br />....................X........................ �� <br />.. ...................... <br />....................X........................ �� <br />........................ <br />. Total .._. ...... Sq. Ft. <br />------ <br />Re�narks ................. ........................................ ................................................ <br />Order Receiced...._........... <br />�Vork Completed .............. <br />0 <br />Foreman � <br />