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B. Y PRICB[�� �� O O . /f <br />W. O. IONM ] �% '/G� <br />CITY OF EVERETT--Water`'Dept. <br />Application No,l�%�:.�'.... Date............lx�y._%.% ..............19:?,� <br />install......_�'... mc�i water szrvice pite <br />. . . ....... .' <br />,p , � , <br />For..._........ /1...--L_....../�,� � .._� ........................................ <br />�� �.�,�{......_ ............... .. Street <br />On .......��.�.,�..... .'.�Gc....�-S. m.r.x ....... <br />Lot.......................:�:p............................ Block No........_........................... <br />Addilion ....�,.re��z_-: vu rr.:C�.._..�sa��n.,«......�:... .. <br />! . ................. <br />Remarks <br />� - <br />.�:p °� ........................................ .� � . � �r.:�y�... <br />Superintendeht <br />LAAOR AND MATERIAL USED <br />Lcad Connection Complete <br />Saddlc ComPictc <br />�.:.......... Service Cock <br />.............. Service Box <br />Pipe <br />.........................� ... .. ...................................................... ............. <br />No. Hours Labor .... ........................................Cost............................................__... <br />Cutin......._...........P,rvr.nunt......_............X ........................ ........................Sq Fl. <br />��� . � i.,,, �r. � r „' .................._X........................ ......_............... �� <br />t . �� <br />....................X........................ .. ................... <br />_....i{ .............._......_ u <br />................ <br />Total ........................Sq. Ft. <br />----"T— -- ' � --- ---- <br />Remarks....................__............�. .. �..._�.t.s:c•.r.:._e....................--.........._. <br />_ . .. ................................................' �--�r.i':tz..�.C.Q.e�-..n: ac`C+..�.�.�............. <br />...... _........ _ ......................................�l.... n-.>::.R.-...:._.......................................... <br />OrderReceived ........................___................_................... ._...................._ <br />\Vork Com�leted.�c..�:_�.. :.. ;t.' .:............__ : i��.:. �. +-.::::.-�.,. ..._........._. <br />Foreman <br />