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. - / 73�/� �y ou�s- <br />w. o. ro�w a <br />� ' CITY O]? EVERETT--Water Dept. <br />Application No.. / �%.31 �'... .... Date .......... .....................:7.-. �'...19�.:.� <br />lnstall ...............................inch water service pipe <br />For .......................... ............. ................... � ............. <br />3 � 3 �n � r� ........................................ <br />Or� .....' ...........................�...'.`..� A��:........F-`'.�"-^_�.......................... Street <br />U � --.. <br />Lot.............................................................. Block No..................................... <br />Addition <br />Remarks <br />... :........................... <br />��'�"_i i."_G. r �lJ� <br />............................................. .... <br />d%-3/ -�z <br />Sizc <br />LABOR AND MATERIAL USED <br />Lcad Co�mection Complele <br />Saddle Complete <br />......_.....I Servicc Cock <br />Scrvice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Ci•.t in ....................Pavement....................X........................ ......_................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />................... Total <br />........................5q. Ft. <br />– ----------- — <br />Remarks ............................................................................................................. <br />............... ............................................................................................. .......... <br />OrderReccived ....................................................................................... ..... <br />lVorkCot.�pleted ........................................................................................ .. <br />Foreman <br />� <br />� �: <br />5 , <br />*f� s : <br />ta <br />� <br />Fj�(�F_ <br />