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i <br />W. D. Form o I5oo 3.1-17 C. P. • L <br />CITY OF .EV ERETT--' , ter Dept <br />C�-9 �'/ 4P'�- _191_ <br />0 6�_3 _.1_ llate---- ----------- <br />ptpplication No. ' - <br />l' .._-.1�------°t�water service Pipe <br />Install <br />---------------- <br />For------ 0.---1Street <br />On--- •--------Z 1_4 A- <br />Z------------- <br />Lot — Block No..---0 _ <br />Addition___- — ___-_-__. <br />------------------- <br />----- <br />Remarks -- _____-_ <br />---------------------- <br />- <br />��' �-�� a erintendedl �, t�•1, <br />LABOR AND MATERIAL USED <br />end Connection Complete <br />ad Co plete <br />�d'SJ - ------ -- -----Yipc <br />;,mice Cock <br />icrvice Box <br />-------------------- <br />--------------------- <br />jr-'_.__.--._Cost___. ___._Sq. Ft. <br />No. Nours Lnbur._-------' -- _--. <br />Cuts in__.---_..._.. _.Pavement--_-----_.X__.--------._.. <br />._-______-_- <br />x_ ____________ <br />_.____-_._._ <br />-- ---Total. ------------ Sq. Ft. <br />Remarks--- - --- --- ----------•------------- <br />---------------- <br />Order Received ------- <br />Foreman <br />work Completed _ __ ------ <br />-// <br />