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3. J.�PRI[B[ � � � • • �� � �� <br />H. O.�IOAM :t� � <br />CITY OF EVERETT--Water Dept. <br />�; �� � .�s...... <br />Applicaliai No..�...'..:.....'.._... Date........::.:�;.....:... fQ� ................. <br />Install ...............................inch water service pipe <br />; ��.� <br />, .... <br />For ........__....,�.c_.'`:.!_.`.Ic.:::,..::..i.::::ti.% ................................................ <br />� ........................................ Street <br />On......................... �i..:.......:'........................ <br />r.., .................................... Block No..................................... <br />Ad�liiion ..................................... <br />Remarks �' � ��-�---1•"' <br />.................................. <br />................................ <br />....................................... <br />�. �, . � . -- ............. <br />................. .. .... <br />.............................. ................. <br />Superintendent <br />� � i- <br />LABOR AND MATERIAL USED <br />--.��.:._� -- <br />� ......................... <br />........... , <br />...........................�.......................... <br />:,ead Connection Complete / / ! <,� % <br />Saddlc Complete � j � .. <br />� ..._ ...............PiPe <br />Scrvic � Cock <br />Scrvice Box <br />___ <br />No. Hours Labor ............................................ � ........................SQ.FI. <br />Cut in..._ ...............Pavemenl....................X_......_....._....... ........................ ,� <br />.................... „ <br />................... _' - <br />.................... .......... ............ ,� <br />....................7i........................ ........................ <br />Total ...._.._ ..............59. Ft. <br />_._------_ ---- <br />Remarks.................................................................... ... .................................... <br />�/.. .:.............................................................................. <br />. �'..2%.N ' E �, r C' <br />. ��...> ......... ..... <br />..... <br />_ ... <br />. <br />....................................... ..... <br />Order Recci�•ed ................................................. <br />_. <br />Foreman <br />\Vork Compleled ..............................._.... <br />...._ ................... . <br />I <br />