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w. o. ron <br /> ,I., S3 3 2 - - ��°�y <br /> ' "CITY OF EVERETT--Water Dept. <br /> Application iJo.�....?...':�:1 Date..........�5.-•--.�........................:9.`.°:� <br /> Inst ll...............................inch water service pipe <br /> . � <br /> ' � - . . .� .ci <br /> i <br /> For � �:.�.�,��.� .:........... ..1.f:-.n.:K.�..:........................................._.... <br /> .......... <br /> � � ....�. ' <br /> On ......�:...�...cr....f._....... Jl...�..C'.��t..r:s��...:................................. Street <br /> 2z n � ' <br /> Lot.............................................................. Block No..................................... <br /> Adilition .................................................................................................... <br /> Remarks ............ . . . .... ..... <br /> ............................... . .... <br /> /' i <br /> . ...... <br /> ..............................................C..:�:%.-..t.s.°..�/�,.. .s.:�.�.............................._.... <br /> ............................................................................................................................ <br /> ..................... ................................................................................................ <br /> ..........--•--------.... <br /> ...............................................................................................Superintendent <br /> LABOR AND MATERIAL USED <br /> No. L Sixe I <br /> --_ <br /> ......................................................I Lead Connection ComPlete �' <br /> ...................................................... Saddle Complete <br /> ...tt........................... ........................................................................Pi Pe <br /> ................._ � I <br /> ............_............ Scrvice Cocic � <br /> ............................ , <br /> ........................... <br /> ........................... Scrvicc Box <br /> .......................... ..........................................................�..................................................... � <br /> ............................ , <br /> . ................................................................................................................ 1 <br /> No. Hours Labor...... Ccst.................................................... <br /> ...................................... <br /> Cutin....................Favem�nt....................X....................... ........................Sq.Ft. <br /> ....................X........................ ......._............... <br /> �� <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ........................ <br /> .� <br /> Total ........................Sq.Fl. <br /> -----'--- <br /> ................ <br /> Remar s............. ..... ......................................................................... <br /> .......................................................................... ........................................ <br /> ......................................................................................................................... <br /> OrderPeceiced...................................................................................... ...... <br /> \Vork Completed....................................................................................... .. <br /> Foreman <br />