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�. �. PNItY�iM , s <br />W. O. IORM � ✓ .� ✓ <br />� -O - EVERETT.-�i�rater Dept. <br />Application Nor..l.5�'�3 ^ <br />............... �Date......:3..::;..... 1.7�— <br />., 7nstall........'.3-�......... • � ...................... <br />.1 .....�- <br />.-• -inch water service pipe <br />For ....-�.•:.�:_:..�1.... -......s.:.?.::t...1!.: � . t � i --•' <br />� _ .. .:...... ............................ . .... <br />On ........ _' .. <br />..... <br />..... ............7c:..Q_......_�!.-.(:.:!'3.,�{i......................_...... Street <br />Lct.......... ...._7 ;....c.'�.� . <br />........._. Block No........ <br />............_....... U � <br />Addition _ _......_.._ ............... <br />................�.. <br />� ............................. s.......... <br />Remarks , • ........... <br />................�ZE_ r1..<...�.L,::.�... . •.......... <br />. <br />. ... �._,__ ........... .. <br />/��...........-.......- - ............... ................ <br />... !.......... <br />n.-C. <br />l� <br />Lnsox axn <br />Lead Connection Complete <br />Saddle Complete <br />Scrvice Cock <br />Service Box <br />— .................................. <br />No. Hours Labor ..............................................Cost......................._.._. <br />Cut in ....................Pavement....................X......._.... <br />.......... ........... <br />/� . ........... ........................Sq. Ft. <br />/ ; . � ...................X. <br />. .,., .........._....._._ �� <br />......._.......... <br />..... �� <br />_. .................... <br />: ..............._. <br />. <br />— . _ ...... ......._............... <br />._ �_ .. „ ....................X. <br />....................... .. <br />— -- <br />Total �� <br />temarkc f �_ ��-�-59•Ft. <br />.................._... �. �.. <br />............ ............ . ' . <br />.................. � <br />rdea• Peceive�i ............................ ........... ..................... <br />................................:..........�' <br />1Vork Compleled ....:........ --........... . <br />................................................. .. <br />Foreman <br />