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w. H. Form ] 9419 T:r <br />S. ]. PneLe <br />CITY OF EVERETT?--Water Dept. oe <br />Apriicatior. iq Date...... -- --------- 0-19---- <br />I nstal l.. _ _ .. _ _ _ - - - _ _ inch water service pipe <br />For ----------•-•- <br />On-- — — ---------------------Street <br />Lot.. Block No ------------------------- <br />Addition --------------- ---•--•-----••-- <br />. <br />Remarks -------•----- - ------- <br />-�� i <br />------------- — ------- -----•..__._..._.....-------- <br />Superintendent <br /><tL <br />LABOR AND MATERIAL USED <br />No. <br />Size <br />_______________ <br />_______________ <br />Lead Connection Complete <br />t <br />1 <br />NMI[q1 .�. t�-' ___________________Pipe <br />_______________ <br />_______________ <br />Service Box <br />No. Hours Labor ---------------------- Cost ...-...-_.__.___--.-._-..___________ <br />Cut in ------------ Pavement-------- X.............. ---------------S9• Ft. <br />x-------------- _______________ <br />--------------- <br />----------- X.............. <br />Total ________ _______S9• Ft. <br />Remarks_- -- ---- •-•------------ ----- <br />�'r <br />------- <br />----------------------------------- ________'mil'___._ <br />Order Received <br />Worl Completed ------------- ---------•-•------------- <br />Foremen <br />