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� � �� .�vt���/ <br />w'o. ron�' � ^ l~ <br />� CITY OF EVERET1--Water Dept. <br />Appiication No.%..,!`...�.% S'.. Date........�..�L ...........................19..�.z�� <br />_ j�S �_,,,__.,., . i ch water service pipe <br />/ f n <br />For ..:.�L.:' ' . - : C<=.-4.r.�.l6G��:�!-G ..................._..v......................... <br />l rZ..�/......_..`� ,/ i , '� �...._L.:�x..::,.;:.s..t:Street <br />/ � <br />Cn......1......�..�G./.A:a............/..R.,i[..:Lx....%.../.4. <br />Lct............................................................. �Block No..................................... <br />Adilition.......................................................................................................... <br />Remarks.... .....................•---................. <br />� <br />LABOR AND MATERIAL Q3ED <br />I.cad Connection Complete <br />Saddle Complete <br />.,,.........I Seraice Cock <br />. _ _ Sert•ice Box <br />Superintendent <br />. a.on� ................................................... <br />No. Hours Labor ............................................ <br />Cutin ....................Pavement....................X........................ ........................59. Ft. <br />....................X........................ ......._............... <br />,� <br />...................X........................ ........................ <br />�� <br />X........................ ........................ �� <br />....................Total <br />........................59. Ft. <br />--- <br />RPm arks ................................................ .......................................................... <br />............... .................... <br />Order Receieed.......... <br />\Vork Completed...... <br />..................._ _..............................-�---- <br />.................................................. ...... <br />Foreman <br />