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. - �� � ��� ��� � <br />O _" <br />W. O. fORM ] <br />CITY �JF �EVERETI'--Water Dept. <br />„� <br />AFplica[ion No.-:.� :...:...:..... Date..........��:.:%:::.:. �...:�.:.......19,�./ <br />lnstall...........; � � :........... .inch wa?er .ervice pipe <br />For..............:::.::..:....:........................................... <br />, _, <br />On ..........._=:.:. '.= .' ...........::.:.:.::,:._L........... <br />Lat...................................................._........ FSlock <br />�dciition .............................................................. <br />Remark; <br />Street <br />�: ��:_, <br />........_ .......................................................................J-....�...:..._:.: �:..:�..:._... <br />' Superintendeq: <br />/ <br />LABOR AND MATERIAL USED � � � <br />No. i Size <br />Lcad Connection Complete <br />Saddle Complete <br />, . <br />e,.� e. 1 �.� .............._ _ ___................. <br />Ser��nck <br />Scr�ice Bax <br />............ _ ....................................................... <br />No. Haurs Lsbor ..............................................Cost.................................................... <br />Cutin_......._........Pavemcnt..........._.......X ........................ ......._............._Sq. Ft. <br />c7.[:(/i/ .ii �� <br />,�, ..,,4 x ........................ ......._............... <br />, � <br />��4�, „ <br />....................Y........................ ........................ <br />....................X........................ �, <br />........................ <br />Total ........................59. Ft. <br />Remari:s......... <br />....... . ... ......1.... �� �..<� ,..`............................................................ .... <br />Order Receit•ed .......................................................... <br />� - � -i � /�/ ..�......................... <br />\�ork. Completed._1.....�......v..�'............_�.��..L::C-.cl-:i..<-.�-,,...__.._.. <br />Fareman <br />