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O. J. PNICO[ � �8 � � `� �� � <br />W. O. IORM ] <br />CITY OF EVERETT--Wate- Dept. <br />A licalion N�•= --� s.all. ]CL � �9u1 <br />,>SU� <br />PP_.. Date ..............................................19...... <br />, inch water s rvice pipe <br />r:, ............,,�............ <br />ror ���GG�......r..,�../.�.�(--G:��Y.L .......................... <br />..... .... . ... . . <br />On G;t�'.L�fi,.. �r�.......l�:.Y..7.Z.�..........__........... Street <br />........... <br />Lot.............�............................................... Block No..................................... <br />�dilition ...............................................L....................................%..................... <br />Remarks ....��.1� �I....(..y.tl...ki:�T.N..O..._!��1 .4!.c6..' .................. <br />. ................. <br />_ ......................... - ---- <br />........................ - <br />....................... <br />......................... .................................................. SuPer intendent <br />� LABOR AN11 MATERIAL USED _ <br />,.... i ---. _--. <br />___— __— r <br />Lcad Co�nection Complete <br />,...._ .................._�................._........� S�ddlc ComPlete <br />........................... ........................... <br />....................... t.................... <br />..... <br />.. _.._...... <br />..................................... <br />.................... _..... ............. ............. <br />Scr•�ice Cock <br />Scivice Box <br />............._.. <br />� ....Cost ....................................._.. .. ....... <br />. . . <br />TIo. Hours L� or..........._ .......................... <br />........................59. Ft. <br />Cut in.......__.........Pavemenl...._ ...... .......X.................._.... �� <br />................... Y........................ ......._............... <br />� .....X ........................ ........................ .� <br />............... �� <br />%/Y'�' � � -y�� ..._ ..............X..._................... ........................ <br />Total ....................._Bry Fl. <br />Remarks........ <br />� <br />.................... <br />.................................................._.......... - <br />Order2?ecei�•e�l ...................................................................................... <br />. ...................For eman <br />\b'ork Completed ........................_............................ <br />