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nn i� t .' ✓ <br />CITY OF EVERETT--Waul-r Dept. <br />ApplicationNo�!? _S _�� D.te-------------- <br />- <br />Inst�ll inch water service pipe <br />For _ _-eCtl_�/tj>_fr.=''----�(�Ic-1.J_ .... - - -- -..... <br />oil.---��Y'-- !'�'`;�•_•...------._.Street <br />Lot �� y /YQiY 7 ..BlockNo................ <br />Addition ............ ................................ .......... <br />Remgrks --...._..__.. ----•-------- <br />�%e <br />Y - <br />V ��� _ _ _�-�--•r•v� _���1�; •intendant.. _ <br />LABOR AND MATERIAL USFO <br />No. <br />Size <br />$------ <br />_. __..1c�_.._. <br />Lt.td'6ennecdwr Ivte <br />.........�...___. <br />. �.".-_Y. �. �.. <br />Sad yc Co pletcQ <br />y(t...._3`3Afy_ca_Ptpc <br />__._�_.... __. <br />...... <br />..... :/i4------ <br />__ ..Z _.. <br />Service Cock <br />Scrvicc Box •' 'w <br />..................— <br />_ <br />--------------- <br />----------------- ------- <br />No. Hours labor --------------------- Cont. ....................... <br />Cut in ------------ Pavement---.__1' f-. X %fQ ........ ---------- --r. Sq. Ft. <br />------------ x....... --- ----------------- <br />....-•••--..x............. ---•----• - -- <br />U��nr-D,�LQ/ U-/ o.-------.--- x-------------- -......... <br />bif /c'�/Pr. -rn,�h en-'J'j� Total ---sq. Ft. <br />Remarks-------------------------------- ---•------------------ <br />--------------rr - ------ --------- <br />Order Received : ........... ............. ... . <br />Work Completed ............................. ------ <br />--r m.a <br />