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B. J. �RI�� �� ^ ■ <br />W. O. lOMM ] <br />_ C/ ~ � "l <br />rJ <br />CITY OF EVERETT--Water Dept. <br />A lication No......;;.:�...': .,% C b �`16i <br />PP �... ...� Date..........P.E ................................1�J...... <br />' lnstall ................ ..........inch water service pipe <br />:, ' ' <br />' • � ..............'. �. � � <br />For ................:.i� � <br />...... .....' _ . ......................... <br />......_...........( :........ <br />_' • . . i , ,-, <br />,. ...... <br />On.....................!._�..................:..._ � � � � ; , , <br />...:....:.........................:......:...:..... Street <br />Lot.............................................................. Alocl: Nu..................................... <br />Addition <br />................................................... ...................................................... <br />Remarks ............................... - - <br />.:...................... <br />� ' � �� Superintendent <br />/� <br />LABOR AND MATEAIAL USED <br />Lcad Connection Complete <br />Saddlc Complete <br />......................... <br />Service Cock <br />Service Hox <br />No. Hours L�bor ..............................................Cost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X..._.................... �� <br />' ....................... <br />....................X............._.....__ „ <br />....................�........................ ........................ �� <br />Total ........................Sq. Ft. <br />----- _ ------ <br />Reroarks.......'_:..i.....`.::....:..L-x ...........:...........:: .. — <br />J; ............................................. <br />.l / �' _'i i: `j 1' . .... <br />.- <br />�� v. ..o <br />... ...........................................:......... ..::.........:........: ...'......................................... <br />Order Recei��ed.......... <br />\Vork Completed....... <br />