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!L J. PRI[CC OM/ / � � _. <br />W. D. IONM ] <br />CITY OF EVERETT--Water Dept. <br />• :, ;-� _ <br />Application No,l_L�.L......... Date._�..:........._i � .............19_..r'.� <br />; , Install..�.�.. .J �� �..............inch water service pipe <br />�%%�rr�-C.�.(`.. rtt.: . <br />For ......................................,... c�f.c:........................ ...........-- <br />, <br />.....--- <br />� <br />On ���_.'.�..._.. ..�..'...'�'�....... �...'..:- ........................ Street <br />Lot.............................................................. Block No....---...................--••------• <br />Addition........../_:f:� ...................�-�--................/..'....... .:....,........................... <br />Remarks .......1.(:.�?:t:�=ft:.`.:�:....::-;^:.'(........�:�.v�.z;l..::C'...---- <br />� , <br />✓ <br />1-S l <br />LABOR AND MATERIAL II3ED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Flours I.abor ..............................................Cost..........................._....................... <br />Cutin ....................Pavement....................X................ __. . ........................Sq. Ft. <br />....................X.................. �� <br />...... ......._............... <br />v �� <br />....................X........................ �i <br />........................ <br />Total ........................Sq. Ft. <br />--- ----- <br />Remarks ............................ ................................... ............................................ <br />Order Receiced .......................................... <br />\Vork Campleted ...................... ............... <br />4 <br />...........Foreman �� � <br />