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� <br />Y . <br />9. J. PFICOC ]M' 3 7 3� ; I ' ' <br />t' <br />w. U. (ONM .l - ' �� <br />CITY OF EVERETT--`�Iater Dept. <br />�; ; : . � <br />Application No.._ :.:.......:...: ... Uate.............:...._:........:.:....�.........19...... <br />! 7nstall ...............................inch water service pipe <br />_ � : <br />For ............. �..�:.1.:.::.�.:.. .:...................... - ................................:............ .... <br />, . �. � <br />Oii ................</.�....._::''._:.:_':_�......:�.i�.:...i..:.':..:..!...�.�_t....f..:•:...:. 3treet <br />Lot.............................................................. Blork No.............................-�---�-� <br />Ad�iition .......................................................................................................... <br />Femarks.............................................................. - -- -- -- _ _ <br />................................ _ _. .........................:..................................--------.....--- <br />� � � Superintendent <br />�__ j � <br />I.ABOR AND MATERIAL USED <br />No. i Site <br />........................._�..........................-I .,addle Com lele p� i �/ <br />T �nnnection Com lete <br />� . , � � <br />c i , . i <br />...................................................... . . <br />.......................ft..................._....... ....................._p.................._!..._`. \...I....._:.....Pipc <br />..................................................... Servicc Cock <br />---.._ ....................................�......... Servicc Box <br />No. Hours Lsbor ..............................................Cost.................................................... <br />Culin..._ ...............Pavement....................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X......._............... �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />---- ------- <br />— --'-- — - <br />Remarks.......L."......� °.P.P...�..'.:.......-.... �...1.• � r.s e s <br />. .. .. ....................................... <br />................................... <br />Order Heceiced......... <br />\Vork Completed..._. <br />................................................ <br />�...._.... _..........."����. Fore.......ti . <br />