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- ��.�.�' � � i� �� ,3 , � <br />W. D. �O�M ] <br />CITY OF EVERETT--Water Dept. <br />Application No.��:y..h:.`:?.. Date........::.r�..(..� ........................19..C.-.:"-' <br />InstaL ...............................inch water service pipe <br />. .. . <br />, .................. ......................... <br />.... .. . .. <br />.................................. ,n '�_ <br />.. ........ ........... <br />•-'— ,a . <br />On ...`:?:''..�::3.__c:......:�:f.�!:�r.�......E,�....�-.1.�. .................... Street <br />T.�t _ ..._....._// ................... Block No.------.....................----... <br />:ldditie i <br />Remarks <br />No. <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />...:............I ServiceCock <br />Servicc Box <br />Superintendent <br />No. Hosrs Labor ..............................................�osi.................................................... <br />Cutin .. ................Pavement....................X....................... ........................Sq. Ft. <br />....................X........................ „ <br />........................ <br />....................X........................ ........................ <br />�� <br />....................X........................ ........................ „ <br />Total ........................Sq. Ft. <br />-- -- - <br />Remarks............................................................................................................. <br />........................... - - - <br />t <br />.............................. ...................................................................................... ....... <br />OrderReceived .......................................................................................... ... <br />\Vork Completed ......................................................................................... . <br />Fareman <br />� <br />