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� 7��� C� - yn �G• � <br />w. o. rosw a <br />� ' -GITY �JF EVERET:--Water Dept. <br />Application No....�.��.'��... Date ...............................�.-/-...19�`f <br />7nsta1l .............................. .?nch water service pipe <br />For................................../....�..............................•. � ........................................ <br />On .....�. / � /) �nv ICC'i�� <br />................................. .... ................................. Street <br />:°..... . . .. . . <br />( <br />Lol.............................................................. Block No..................................... <br />:1d�lition .......................................................................................................... <br />Remarks ......r.,../.../....... ` . . • . <br />.................... _�.... 4.L... ��................._............................... _............. _............-- <br />............. .. .....'............._......��L4:..:..l.� `:*:.*.:� <br />............... ....... guPe)1nteAd4nt � <br />LABOR AND MATERIAL USED <br />Size <br />......................................................I Lcud Connection Complete <br />......................................................� Snddle ComPlete <br />....IScrvice Cock <br />Scr�icc Box <br />No. Haurs Labor ..............................................Cost.................................................... <br />Cutin ....................Pavemcnt....................X........................ ........................Sq. Fl. <br />....................X........................ �, <br />..... ._ ............ .. <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />—' ---------- <br />Remarks ........................ _................ _................. _............................................... <br />.......................................................... ..................................... ...................... <br />OrderReceived ..........................................................................._....... ........ <br />\Vork Completed...._ ..............................................._..............._ .............. _. <br />Foreman <br />� <br />