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S J. PRIt�[� � � � � <br />, /W. O. IONM ] �\�/ C <br />CITY OF EVERETT--Water Dept. <br />Application No.__.':.`!..�'.:�..� Date ..................nFC 6 1961 <br />j lnstall ...............................inch water service pipe <br />. <br />� c L � : ;_ , r.�. <br />� F'Jl. ..._ :...:.........: e . , � �, .� <br />.................1.....:......:_'....:�............................................. .......... <br />On............�- .... ............................ ... Street <br />. . ....................----... <br />Lot....... '-�'. `..'. % �`r4 /Y �j'/ ?Block No ..................................... <br />.................... . . . <br />.. <br />Addition .............--- <br />Remarks <br />� <br />............................................ ................................................................�-- ��-�--�----• <br />Superintendent <br />1•, <br />LABOR AND MATERIAL USED <br />--. tdo.__� Size _�_ . <br />Lead Connection Complete <br />SaJdlc Complele <br />Service Cock <br />Ser�ice Box <br />No. Hours Labor <br />Cut in .................... <br />...............Pipe <br />..------ ....... ...... <br />........................Sq. Ft. <br />......._ ............... �� <br />........................ „ <br />....................n........................ �� <br />........................ <br />Total ............... . Sq. Ft. <br />—�- -- �----'-- <br />�i�� . , - .. , . . . — -- <br />Remarks ......:........:.:.::......:.....:.:':....:........:: - =' (- <br />.......................................................................................................................... <br />........................................................................................................... ................. <br />OrderReceiced ................................................................................. ........... <br />\Vork Campleted ..................................................................................... .... <br />Forema <br />