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. / � 7-�� � �� <br />W. O. fOAM :f� �' /��J �/� <br />/ /F <br />CITY OF EVERETT.�Water Dept. <br />�"nn 1 19E2 <br />Application No.��.,... S�„ Uate ................ <br />................................19...... <br />' �s� ��•����� �����• ............. .i h water service pipe <br />Fer.. _c._+s:�:.......... �..[..['.11.�C'...' <br />� p . . .� ........................ ............. <br />On ....... r1.�.C..�.:t.........�r.t�+Z'.Q.::._..MG.�.t14Sf,{11.� � Street <br />Lot......................... .....�-�-- ......................... B'.ock No.............. ........... -•--•--... <br />Ad�lition ........................................................................................................ <br />Pemarks...................................................- - <br />........................... <br />.......................... ........................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Cnm�ection Complete <br />..................................._...._........... S:iddlc Completc <br />.......................ft. ........................... ....... _.................................... _..... <br />..................................................... S�_�vicc Cock <br />...................................................... Ser�ice Box <br />No. Hours I.�bor ..............................................Cost.................... <br />............................. . <br />Cut in ..................Favement....................X........................ .. <br />........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />.................... X........................ <br />........................ �� <br />....................Y........................ �� <br />........................ <br />Total ........................Sq. Fl. <br />-- -------------- <br />Remarks .................... .... <br />....... _ .................... _...._.. _....................................... ... <br />.... _ ....... . ............... .................._....... .. . _...................... ... _... <br />.......................................................... <br />Order �.eceiced ........................_... <br />\Vork Canp]eted ......................._ <br />... _.._.� ... ... ......... ............Foreman ..\ <br />