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� +� Fll_i <br />9. �J. PRICS[ ]M'�� • • <br />�. O. fONM ] <br />CITY OF EVERETT--Water Dept. <br />. 1"N ;7_ Jc�n. 7.3,...1059.--..19...... <br />Application 10 .........::...:......... Date.............................. . <br />7nstall........���t ................inch water service pipe <br />For �� " .................... ...................................... <br />.........::......t..._,i�:ii................ . <br />. . .... <br />. . -. �. � <br />,,. - � ��.r c,� � _ <br />, <br />On ...........:..L....:�.,...l:s:.;:...�tti_a..1\.....��._'.y.....,::�;:l;.l;.. :E.:..: Street <br />Lot.............................................................. Block No.---............................-�--- <br />Addition.......................................................................................................... <br />Remarks.............i.nuc'.:af,ie^_..........---....................................................... <br />Superintendent <br />LABOR A�'D MATERIAL USED <br />Lend Connecl.ion Complete <br />Snddlc Complete <br />Service Cock <br />Service Box <br />No. ftours L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................59. Ft. <br />....................X........................ .� <br />....... _ ............... <br />...................X....................... �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />T��tal ........................Sq. Fl. <br />-- ------- <br />Remarks .......................................................................... .................................. <br />Order Receiced ......................................... <br />\Vork Completed..._ ................................. <br />