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sJ. nncer�n� I � � � '� � <br />W. O. Io11M . <br />CITY OF EVERETT--Water Dept. <br />Application No..�.L._.L.?t_1.... Date ..........................Ll/�_%.......19.`1....2./ <br />InstalJl �........ ���� inch water service pipe <br />......... �.r.. .... <br />For .........._�.9:t�-'...../...7�`ti`-�%:.........._ ....................�---..................... <br />� <br />On ............:.�..�..�.:�....s - :-�5-s.^:.��..........................----... Street <br />BlockNo .................•--•-............... <br />Addition .........................................._ .... ...............-----...-----..... <br />. .................... <br />Remarks .....�^L.i.4�.ti:...✓ ............ ... ��:�r..`.-Fr.S...�..........---..........--- <br />. ...,` ' � /V � <br />........:......�M.... .... ...(4......'.........................................................,fi._ . ` <br />'� �/ �l � �:. <br />rJ CU-v� <br />.....�:.... �.... . . . �..:1 ............................................. ...... ....� <br />� -� '�� � � ✓ Superin�f�ad�gt <br />I - : � q � .`>" 'I/1 <br />AND MATEBIAL D9ED <br />Lead Connection Complete <br />�addle Complete <br />Service Cock <br />Servicc Dox <br />No. Hours Labor ..............................................Cost................................................... <br />Cutin ....................Pavement....................X......._............... ........................Sq. Ft. <br />....................X........................ �� <br />................ ....... <br />....................X........................ �� <br />Tolal .................. Sq. Ft. <br />- -- ---- <br />Re�narks ............................................................................................................. <br />OrderPeceived ......................_._............................._....._......._........_...... � <br />\Vorb: Com�;lr.ted...... _ ............... .................................................................. <br />Foreman <br />