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0. a MI[�[ 1M/ �� Q J <br />W. D. l011M 'J ��J . (� <br />CITY OF EVERETI'-.Wa*er Dept. <br />Application Nol��c5'... Date........�i<rt.:r_�c ...............19.'�.J�'- <br />� <br />Install........� ___,,,_..,_- �ch water scrvice pipe <br />For ...��:.._..c�7.�F..� <br />...-� .......... ............................ . <br />. .... ........ <br />On ....::...._:?d.:'?..�'......:-�a<_Q. <br />........... ...... Street <br />� ....................................... <br />Lot.............................................................. Block No..................................... <br />Addition....................................................................................................•---.. <br />Remarks ._ /�cc.c:---....�..G.t.s.ac.a..:a :........................................................ <br />� <br />' • � � y .__"'_ ............... ................................. <br />_ �:.. � e,�..[ �.....��._ ........................................._,;,� �l- �:..�..-.�.. -. <br />!c �— A U � �Cu..e�tn.e..a.G�•... <br />"' `'Y�T• LABOR AND MATERIAL U96D <br />���•����������.�..........I :,ead Connection Complete <br />.�y..� ................1 Sad�le Comptete <br />i.�.: . '.! ' %.. . <br />.......................... .. ..........._......._...............................................Pipe <br />.....�_ ............. Service Cock <br />... <br />.......................... Service Box <br />No. Hours Labor ...........................---...............Cost.......................... <br />......................... <br />Cut in ....................Paw•ment....................7i........................ <br />........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />...................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />-- --__ <br />Total ........................Sq. Ft. <br />Remarks ..................................L �._�`t.:..... ` ::::_ <br />l......................................... <br />............................................__'_''_.-- �e�._. ../n: . . ... . . <br />µ <br />.........................................................:...t�t. -'.!:}:��l1.:........................................ <br />OrderReceived ........................................._.............:..._..........................._.... <br />�Vork Comoleted..l.r'.::�3:a ...:...:.::.................. ' • . . <br />......:.:..................... ............ _ / <br />Foreman <br />