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LJ.�MIIRCW� ��� � . . ._�•_'�/ �I <br />W. O. 1011M ] � J <br />�ITY OF EVERETT�Watrr llept. <br />Application No....... ��... .. Z? <br />� . <br />For <br />On <br />S <br />water service ptpe <br />BlockNo......•--.........._ ............... <br />Addition.......................................••-:-........_.........;��.. .................................. <br />Remarks ....../.��.?.:'�-�?,Cr.1..'-=.3.���._ .............'""1...'.�.....�...._��if?:z-J <br />V <br />....................................�............_............................................--•--........................ <br />-ti . i . <br />.....----� ....................................._�---.................................... ... <br />......................................................�----............----...-�-�---..��..�<�_--------� <br />Superintendent �!' Q, <br />No. <br />� <br />LABOR AND MATERIAL D9ED <br />Size I <br />................. Lead Connection Complete <br />................. Snddle Complete <br />................. ..................._.................................... <br />... ............. Scrvicu Cock <br />................. Service Bc:c .. <br />No, iiours Lsbor ..............................................Cost............. <br />Cut in ....................Paven�ent....................X......._............... <br />....................X..........._........... <br />................. X........................ <br />........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />Tata] ........................Sq. Ft. <br />---- �--------- -- <br />Remarks................................................................. ........................................... <br />OrderP.eceived ............................................................................................... <br />-- , <br />14orkComplete�l ...........:..:...:..:..................................................................... <br />Foreman <br />