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W. O. IOR���� � ` <br />CITY OF EVERETT--Water <br />l �ln �.� r <br />Dept. <br />Application No.�J�.r�.��. �.. Date .........1�...� ...........................19....k? �!, <br />_Instail............) ................: inch water service pipe <br />� � i� ...� . <br />For ......._�.:......L.�...,.......Lc.4s:.t.C.... -- . . ............. <br />On .......�.�. 0 ............�.. �" ............ ............ ................ .. <br />..........._,..,�.,.t:�...•l...zz ....................................._-- Street <br />Lot..................... .`� Block No................_..................._ <br />Addition ............. .......... <br />Remarks ............... ---... <br />LABOR AND MATERIAL USED <br />No. Size I <br />:.ead Cunnectian Complete <br />Saddle Comptele <br />: crvicc Cack <br />Service Box <br />No. Hours Labor ................................. <br />Cut in.....__...........Pavement .............. <br />Superintendent <br />........................Sq. Ft. <br />......._ ............... „ <br />........................ �� <br />....................__........................ ........................ �� <br />Total ........................Sq. Ft. <br />-------' ' — — <br />Remarks...._ ...l...,..�.._ ................................................... ...... ...................... <br />......._ >/�.....�...r. �.��.........._ ....................................................... <br />............./...C�..:- /.�..-�...3.................................................:................ <br />Order Received ............................. <br />1Vork Completed ......................... <br />��: _-: :-:: :-� i � <br />Foreman <br />