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w. o. Fe.m 3�an i i.w.n <br />CITY OF EVERETT-•-Water Dept. <br />A IicaHon No. .... _3 3 ��/� 6 5� <br />PP 8 _..�.... �/ate..__..........__...... . 192.. <br />Install ._ �_.. .. inch water service pipe <br />For <br />_ :. .��..._ ... <br />On. _ ... � �_6 �... . ,c�`-�-�t-<L..... . . ....Sneet <br />� <br />Lot................................... .................. Block No............ .... _...._.__............ ..... _.... <br />AddtNon..............................,;.........._. .............. ............__.. ......._..............__........ ......._ . <br />Remarkn.................. ............................................... ....... ...... ............. ............ ........... . ......... <br />_ _ _...__. .._......_____..........._ ............. __ ... _........ _..._ _ --................_ ........._... <br />......_........_........._.__.........._...........- ................._...__.................._._.._......_ __ ....._.. <br />_..........._..._ _..._ .................... <br />. ___........ `�`-� ........__ .... ....... ..... _ ..... <br />...........__... ..�..r�., � .... .. <br />. .. 9uperinrcn s � ��r. <br />i <br />___—_—_ __ <br />-_'__.____—'. .__-- -,i_—_-� ---_ <br />WBOR AND MATERIAL UStiD <br />�---- __-- ---------� - <br />No.---�--Siae __ — ---------- --- -- -. ___�-- ---- <br />...........� .............�..;�'i: . . � .. Lesd Connection ComPlete <br />..........1 ............. Y .. <br />{���d`� ;,-��•���� Saddle Cop�plete <br />........_�t."...._rc.I.... _.r......: ._ .......—�..��?.cs..E:l!' :.............................Pipe <br />� • <br />,........_/ ............. .. ..._ . .. Service Cock <br />...........::............. �G... Service Box <br />:...................... � ......... ..... <br />..................-........_..........................._ . _.... <br />............................................................. .. .. <br />... ....... ....................._............... .._. . . ... <br />No. Houro Labor ...............i...._.................Coat....�i:...=......................................._.. <br />Cutin .............�..........I'avemenk.............:.....X........................ ....................Sq. Ft. <br />....................X........................ �, <br />.................... <br />....................X........................ ,� <br />.................... <br />....:............._5....................... �� <br />................._. <br />Total ....................Sq. Ft. <br />-- --- ---- -- =- <br />// _= <br />Rematks pt:�! , I l �.' al�,�7�' ... __ . <br />�L.L,r� �/ _ <br />.._. ¢'- L1r/�_.9� 1�� l.< .hZL�.. _ i.n_� t��� f�z✓'. _... <br />..._... __....._.. _. .. __ ...._ . _ .. .. ... _..__. ......___..... _____.._.. <br />Order Received .. <br />�1 _.. � <br />Work Compic�ed 4�i�' . ._.(��1£a.i c� .;i <br />.._... i Pottm�n �p�i <br />� � <br />