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B. J. PNICB[ ]M��Q � / _. _ � � �J � <br /> W. D. lORM ] <br /> CITY OF EVERETT--Water Dept. <br /> Application Na�.'����.... Date......_..�=c:r..::_�.;....--•_----19.:'.."`_ <br /> / lnstall...........:.��..........inch water service pipe <br /> For .......C:_f..'�::.::..:......��'..�:.c�:;::..:::f:......................................-�---........ <br /> On .............:'.�::.1.......��:a:a_rT:.,::_::....f.=�.........................--- Street <br /> Lot..............._�lc.......---..........---...-----.... Elock No......---.......---...-------...... <br /> Addition .......................... ......................................................�--.................... <br /> Remarks '���::.�.....��_�c,::::ti................ <br /> ........................................... ..L,.......--�---.........................---..........................--�----• <br /> ...............................:....:�r.�.c........................................................--•-----.....--•--- <br /> ..................._.......:,t7_../;.,�/......................_.......................................-----...--- <br /> r t , ,- � � . <br /> ........._'..:..�:n.,.�.�:.....................................�-�----...._!�:.�._�•.::.'.:�;--- <br /> � .� . Superintendent <br /> yy, .,; <br /> LABOft AND MATIBIAL USED <br /> ..._No._. ........._Siz e <br /> .... ...... ......... ;.,ead Conrection Complele <br /> ...................................................... Saddle Complete <br /> ............�.�:....it.......�'.!.a........._. ...._....................._..........................................Pipe <br /> ......................;. <br /> .......:i.�t............. Servire Cock <br /> ......................!.....__..................... Service Box <br /> ...........................�.......................... ..........................................................._.................................................... <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> � � .. <br /> ,� <br /> ��, :. � . .. .................... ..........._........... ......._............... �� <br /> ' ..: ....................X........................ ........................ <br /> ....................X........................ �. <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -- __--_ <br /> Remarks......................................................:................:..:..:.............................. <br /> ... . <br /> ................................................:._............:..:.:................:..:......................__.... <br /> .................................................................::....:................................................. <br /> OrderReceived............. .............................................................................. <br /> . _ _. i/ �.�i <br /> \Vork Completed.<:...:.......:..::..::..:.r:......................,.:..._'.....�..: :. .s:t..:.::._ <br /> F inan <br />