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B. J. PRI[II[ ' J v� � �/ l.� �� <br />W. O. IOMM ] �% <br />CITY OF EVERETT--VJater Dept. <br />� :; ;> !; 'r <br />Application No ........................ Date.._...... �EG. .,:...L`'SL.............19.--.. <br />`'' dnstall ...............................inch water service pipe <br />` _. . .� <br />. ; <br />For ......::.r�.!'....._t...1��:�.�:L.�:..:�-�:5 �� �.:r.i_� ....................................... <br />� , � <br />._�. <br />� t....5.:.:�...ir /L :� i� : � i <br />On ............../�, q ..� ...l...1._..�':..........:.:.:..�..:..�.................... Street <br />Lot..��.�?...GS�.11.�.t./t_c-Q.�4:c?.......... Block No ................... ..........._... <br />Adciition................................................................ <br />.............. _........................ <br />Rernarks <br />.................................................. _ ............................................... <br />................................................. ��.:�........... <br />. ............................. <br />, , Superintendent <br />LAB06 Ai1D MATERIAG USED <br />:.end Connection Complete �, / �. ; <br />i <br />Saddlc Complelc ' � � ` �� <br />�, <br />........................................................................Pipc <br />Setvicc Cock <br />Service Box <br />No. Hours Labor ..............................................0 <br />Cut in ....................Pavement....................X...... <br />Total <br />....................... Sq; Ft. <br />........................ �� <br />Ft. <br />.............................................................................................................: ............. <br />OrderF.ecei��ed ..................................................................................... ..... <br />\Vork Completed .......................................................................................... <br />Foreman <br />4 <br />�+:> <br />��'irf� <br />' �l. <br />