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9. J. PNICB[ I�� 7 / . ' ` <br />W. O. fOXM ] { � � '% � <br />CITY OF EVEKETT--Water Dept. <br />. <br />Application No....:'...�...'.:._�.:;. Date ..............�:!......:..1y61.............19...... <br />; 7asta1l ..........................._. .inch water serv: pipe <br />For � . <br />......::! .......:.::........::. ��: c�.i__, <br />... . .................................................................... .. . . . <br />f' � : <br />� . ... <br />On ...................IS.:i......:�. ...........�:-i.::c::...::..:r:�.:,�........................ Street <br />Lot��:����.��„/.f���......... Block No ..................................... <br />.4dclition ...................................................... <br />..... .............................................. <br />Pemarks ................._ <br />j / Superintendent <br />LABOR AND MATGRUlG USED <br />No. i Size 1 <br />Lead Connection Complete � _ ./ �� <br />Snddlc Complete / .� ���— � �� <br />�;���- i <br />........................................................................ P i p e <br />Scrvicc Cock <br />Ser�ice Box <br />� <br />No. Hc us Latx .. .........................................Cost............................... <br />. ........ ........... <br />Cut in ................ Favement....................X........................ ........................Sq.FI. <br />....................X........................ �� <br />........................ <br />' �� <br />.................... ........................ ........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />- ------- — ----_- <br />— _ <br />_—= <br />emarks..........._.........._ ............. --- <br />_ . ..............._....., .. ............................ <br />- ._ ........................................ <br />Order Eeceived ....................... <br />\Vork Compleled .................... <br />.......................................... .............. <br />...... _ ............................... .......... . _ <br />Foreman <br />� <br />