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S J.Yrieba4M'/_Iy2931 "� J � . • <br />�1'. U. Fo�m 3 � V ' <br />C,ITY OF EVERETT--Water Dept. <br />,;'J � ,� h/ <br />Application No..�^`...7.�../ ��ate........;/ ............:.`..L.................1�.� <br />Install......._..?:..� ..............inch water service pipe <br />For.......................................... <br />......... ........ - <br />. .. . <br />�.........._....._ ......................... <br />On ..........`��v. j.....<....b..:.fr1.�,�:T'�../ ... .........._..... Street <br />i.ot....._ ..................._'..........,....._.....----..... Bleck No.................__..........---•- <br />Addition .................�.'.... � . <br />... . . .......................................... <br />/ .. .. .. <br />, - ......... ............. <br />Remarks .-__-.-.- 1 .' : ; �.. � • ,� � __ <br />C' <br />� <br />r i l.-�-� .(?_.. <br />..................... <br />'�--, Superintendent <br />_ L.4BOR A1V�pTERIAL USED <br />--- No.---� S�ac - � � a n.:. <br />P?o. }iours Labor ..............................................Cost....................... <br />............................. <br />Cutin_ .................Pavement.......... .........X........................ .......Sq. Ft. <br />................ <br />....................X........................ .............. .. ...... .� <br />.................... X................ ., <br />........ ........................ <br />....................X........................ �� <br />........................ <br />Totnl ........................Sq. Ft. <br />-------�-- �—= — <br />Rermarks..�,.. .... � ..... . ....... ............................................._................. <br />�f �J�-. <br />.... ........... .... . ..... ............. .................:.... ................................ ...... ................. <br />... /_..-./..��.._-.C:._Z ......................_.........................................-.- <br />Order P.eceived ..................................._......._.......... ..., <br />.. ... ._ <br />u .............. <br />(' ....... <br />�Vorl: Completed_ ...1"......��..'i!.r.....%)'.1.. ......i/. G.. �.�. <br />.................... . <br />Poreman / <br />