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� <br /> I <br /> ��'3 28 � {�.��, � <br /> w. o. rnn q v <br /> CITY OF EV�R�TT--Water Dept. <br /> - <br /> A lication No...>,�:,.,.1..: ' � . <br /> PP I 2.d. Date.......J:,.:..�..........................- 19._l.��C <br /> .��^ 7nstal�..%.......................l..inch water service pipe <br /> , <br /> i , <br /> For .. Gl..:c:?�:......L.c.�.r...:zc'.[..x.c.J.._.............................................. <br /> : ,� ; <br /> On __........,�.'r'?-T.....��_.:Y':.z�:x_-�t.::.................................. Street <br /> Lot.............:=::i::�..�.�.............................. Block No....................----............ <br /> �dciition ................ .............................................. <br /> ........................................ <br /> Remurks ...............................�........... <br /> ................. . - • - <br /> ...................................... <br /> _ - _ � <br /> ...............................................,: .:l.:.:.:i:::.:t:!.: .�r:[.t:�:.........._......---'--.......... <br /> ...................................................."'........................................................"""""..... <br /> .............................................................................................................................. <br /> .............................................................................................................. ....."'..... <br /> Superintendent <br /> LABOR AND MATERIAL IISED <br /> _ No• i Size � � <br /> � ----- -- <br /> ...........................I........_................I Lcad Connection Compiele <br /> ....................................................� Saddle Complete <br /> .......................f t.l..........................I ......._...............................................................Pipe <br /> ................................................... Service Cock <br /> ..............................._..................... Sercice Box <br /> No. Haurs Labor. ............................................Cost................................................... <br /> Culin...................I'avement..........:.........X........................ ........................Sq.Ft. � <br /> ....................X........................ �� � <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — ------------ <br /> Re�n a r ks................................................ <br /> ......................................................................................................................... <br /> ...................... ...................................................................................................... <br /> OrderReceiced.............................................. ..................................... ....... <br /> \Vork Completed_......................................................................_.............. <br /> Foreman <br />