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4 a PPI[BL�] �I- fi� / <br />W. �. IORIM , � <br />I Y OF EVERETT--Water Dept. <br />! / i <br />OCT <br />Application No..�l...� :.....:�::.. Date._�`.. �..:.._---� -'`-�----..........19.r--" <br />_., . Install........_ ._.... =......... incb water service pipe <br />�.. . <br />� � <br />For . <br />. <br />.._......... ..... ....... ...:....... ..............:....._.........:..........':-:.,,,....:........-- -.. <br />�, � � �:_,_.i:->=- - <br />On..............._.:_..._':.C�:y_....,�=..�..--..:f....:............--�--......._....... Street <br />Lot..................._...........---.............-----.._:.. Block No.....-----...._.. _.........-- <br />Addition....................................-•-- .....---............ ...... .............. <br />, . �...----;--� <br />remarks ..........._ . �.::..- -- ' . , - _ 1�-1 ; �-{i- r C' <br />- ----- - - -�-- - --- — - - <br />r� <br />u <br />�—�� ,,� :._ <br />AND MATERYAL DSED <br />::.'- . .................... <br />Superintendent <br />...........................I Lead Conr.zction Complete , <br />........................... Saddie Complete i <br />_. ........................ ....................._..............................._..............Pipe ; � j`,,, . <br />� � ; '�' <br />......................... �erviceCock .' l <br />..._._._._._........ Scrvice Box , , �. L-� ,/ <br />,� <br />........................... ................... _................._......_....................-................................. <br />/ . <br />........................... .._ .......,:...,(..............._....................::............................................. . <br />r <br />No. Hours L� <br />CL'� `]l..____._. <br />Remarks. : <br />........................... _............................. <br />..................................... C o s t.... ...... .. <br />:icnt ....................X......._............... <br />................... X ....................... <br />....................X........................ <br />.................... X........................ <br />Tota7 <br />.—/—i --- <br />f.�'� ...:......:................... <br />� ...:... .....:.. <br />Order Peceived .............. <br />\ti ork Campleted,c :..... <br />........................Sq. Ft. <br />........................ .� <br />........................ „ <br />........................Sa. Ft. <br />........... <br />Foreman <br />�� <br />