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0. J. P91CB[ ' 38 �� • �/ .{ �� <br />M. D. I]qM .l ' <br />CITY OF EVERETT.-Water Dept. <br />,�, � . � <br />Application No...:�J..(�� Date.........OEC ; ..���? .................19...... <br />....... <br />7nstall ...............................inch water service pipe <br />� t...i..,.�:........... __ <br />J' <br />For...�:..c.L..f. � / /;..ti..l.: �.c....i .:.................................................. <br />� . �, <br />On .................���:....5 � /�-'r-� C...::t!................................... Street <br />. .... <br />il";_�.. . <br />Lot,.2f!%�.+,�..I..�J'/�,1�--'�F�t...... Block No .................................... <br />Ad�lition .......................................................................................................... <br />Remarks .......................- - <br />�� j l Superintendent <br />LABOR AND MATERIAL USF.D <br />...........................�.................... _ I Lcad Connection Complete � . � �-; ��� <br />i <br />.................................................... Saddlc Complete ,.. r I :,� ir Jt. <br />. n� � : �.. .. <br />...................... Servicc Cock <br />........... <br />........................................_............ Service Box <br />............................... <br />No. Hours Lsbar ..............................................Cost.................................................... <br />Cutin ....................Pavenic�t....................X........................ ........................Sq. Ft. <br />....................X..........._......__ �� <br />....................�........................ ........................ �� <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />------- ------_ �.—. <br />P, e 7 n a r ks ......................................................... . <br />.. _ ................... ....................... <br />Order?e�.ei��ed .............................................................................� <br />lVork Completed ................................... <br />_......... _ .............. _........... ........... <br />Foreman � <br />