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B. d pqILB� � �,f '�,� ` • , <br />W. �. fORY ] I .� �� � .. <br />CITY OF EVERETT--Water Dept. <br />Application No..-?::_�:�� �� G Date......... <br />"�""""'" 4E.�.:�.......:=u� ................19...... <br />, lnstall ........................_.....inch water service pipe <br />� , " , i 1 i <br />I'or ........L:_ :::::...........:..:.........:..:.i_......... <br />, - � . .............:............................. <br />on ..1.�.7/...`s.j....': . � , ,',: � j , I ........... <br />...............:.......:...:.:_1..,.-.:.....,�:......:.'�................ Street <br />Lol............................................................. Bloc'.c No..................................... <br />Addition <br />............. ................................. <br />.............................................. <br />Remarks .......................- - <br />� <br />� ............ ................ <br />' ................................. <br />' � �� Superintendent <br />_ , <br />LABOR AND MATERIAL USED <br />No. , c;�.. � <br />� <br />Lcad Connectian Complete <br />Saddlc Complete <br />.................................................... <br />Scrvicc Cock <br />Scrvicc Box <br />..............................._.. _....'---.. <br />................. <br />� <br />_ -- <br />No. How•s Lsbor .............................................Cost................. <br />Cut in ....................Pavca�ent....................X........................ ............................... <br />........................Sq. Ft. <br />....................IC................................_. ,� <br />.............. <br />....................X........................ „ <br />........................ <br />....................X........................ �� <br />........................ <br />Total <br />--- - ......................_Sq. Ft. <br />, <br />-- ='_ <br />Remarks � � � ' � � -' i � <br />...................................::................................... <br />..... _ <br />.............................................................. <br />Order Recci��ed ................................. <br />\Vork Completed ............................. <br />� <br />Foreman �� � <br />