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9. J. PR'CBC ]H �33 47 v A� ' <br />W. U. f�RM ] <br />CITY OF EVERETT--Water Dept. <br />A licatiun No.....' InstalL ._J .Date.........� ch.1�te1 .............191r`�� <br />PP - � <br />�/' r service pipe <br />For.................................................................................................................... <br />o„ .......:'�.��,z...3._..Cra��_-!,� .................................... Street <br />Lot.............................................................. Block No.................................... <br />A.idition ............_...._ .............._.........._......................................................... <br />Remark� .................................................... .................................................. <br />_. .. ..._....._... <br />_ .... ..........._.. <br />Superintendent <br />LABOA ANU MATERIAL USED <br />No. Sive I <br />— -- -- <br />......................... ................. �Lcad Conncetion Complete <br />._ ...................... ......._.............._. S.iddlc Con,plelr. <br />.......................ft. ........................... . ..... _............. .................................................Pipc <br />......................................_..._......... 3crvice Cock <br />.._ ..................._- _........_............... Scrvice Box <br />No. Hows Labor ..............._........__..._............Cost...................._..._......................... <br />Cvlin...._.........__.Favement.__ ...............X_...................... ....._.................S�.FI. <br />� .. <br />....................X........................ ........................ • <br />....................X........................ ,� <br />........................ <br />Total ......._ ..............Sq. Ft. <br />----- ------------ -- <br />Re� na rks ........................................................................................................... . <br />.................... -- - -- -- <br />Order??eceiced_._ ................................_.........................._............................. / <br />\Vork Com�leted ..........................._............................................ ...._........ <br />Foreman <br />