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� <br />//�'2 9 2 � ����.� � <br />w. o. rone�.f • <br />CITY OF EVERETI'--\Xlater Dept. <br />� / - <br />Application No.�.:.2.:�..%.� Date........ �........1 ............................19.� ✓ <br />Install ..................... ...... .inch water service pi�,,: <br />) � � / <br />For ' <br />.�:�: s:i:.� .........LC.:�. C. ..��� ../......... . ............................................. <br />On ........_c.�[.'.(%..=' .............�?.;_c.t:<:c:t' ,<r.Y................................... Street <br />Lot.................... ......................................��Block vo..................................... <br />:iddition ........................................................................................................ <br />Remarks....................../.... ;........................ ................................................... <br />.........................................C..��:�:✓}._.G .�L�........................ . . ......... . <br />..... ...... .................................................................."'•"................................"'....... <br />............................................. ................................................................................ <br />Superintendent <br />LABOR AND MATERIAL USED <br />:.ead Connection Complete <br />Snddle Complete <br />.................. Scrvice Cock <br />......._.......... Service Eux <br />No. Aours Labor ..............................................Cost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />..... .................. <br />....................X..........._........... �� <br />........................ <br />....................X........................ �, <br />........................ <br />'Iatal .....................Sq. Ft. <br />�--- ---- -- <br />Remarks......................................................................................... -- -- <br />Order Recei��ed ....................... <br />\Vork Campleted ................... <br />...............................................� / <br />Foreman <br />