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r. + �iui a <br /> ���SO - �' J�Sz; <br /> M'. 0. IOqM ] <br /> CITY OF EVERETI--�Uater Dept. <br /> Application DTo...._��'Sc.. D�t�:............. .. ... .'.�0. .19.:5� <br /> . .. .. .. ....... <br /> // Install..._...._���'........' ch wa er service pipe <br /> For ................ld�'�z.n..!C�Q2��2���.......................................... <br /> i <br /> On ......................:.���................................�.................................... Street <br /> Lot.............................................................. Block No........_......_.........._....... <br /> Addition .......................................................................................................... <br /> �7 � � ; � <br /> Remarls ..-----.�;.�..�.."�r1.r.:?t::C./_.----��%<r..':�.t.af.. � <br /> �--'-- <br /> .............................................---'----....................---................_............------.......-__• <br /> ............................................................................................................••---'-'--••---••- <br /> ................................................�•-----............................---'---'- <br /> ...... .. . .:. <br /> .... . . <br /> ..........................................................'--"---................................:..-- -....... .--'---•'--� <br /> SuperintendenYd � <br /> �/)'L <br /> LABOR AND MATERIAL DBED <br /> No. Size � <br /> ................................................... Lc:+d Connection Complete <br /> ...................................................... Saddle Complete <br /> i .. � . . <br /> ,: ,_ , . ............................Pipe <br /> ...............-._...tt............................ ..:::.!:...:............................... <br /> .....................:............................... Service Cock f <br /> ...................................................... Service Box � <br /> .w................._.............................. ..............................._.................................................................. <br /> .......................... ....................�.... ............................................_............................'-'----............_.................. <br /> No. Haurs L3bOI...........................•.............._.O09C.._............................................... <br /> Cutin....................Pavement....................X......'-"-..._....... ........................Sq.Ft. <br /> , �� <br /> ,_ - - � ,. .. ,. .. ....................X........................ ......._............... <br /> � <br /> � ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — ------------- — <br /> Rem«rks...................................::�..._.__:.t.:.....:t...:..:..:..::............................._.... <br /> .................................................�-....:._C...::............_...:.:.......�.;:..:_......---............. <br /> ....................................................,::.._.._.......::.,.:.::..........................----...----.......... � <br /> OrderReceived..............................................................J. ............................... / <br /> \Vork Completed..`�:.-:'..::...:...::......................:.....:.I..;J_....:.�::::::::s`.:.;.... � <br /> Foreman <br />