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1 � <br />L•�. �RIt�C:lM 1/81 � 3 G. , l /•� �� <br />W. D. fORM �c4TY � �� EVERETT--Water �ept. <br />ApplicationNo.��:SJ.�.�.`...3Date.....:�....-:....� '.Sf� <br />• � ..........................19...... <br />�jG� lnstall..... .� �%:..�... .inch water service pipe <br />For ............f..!.�h:i:c�k.,..,/.�.�'.n..C/s ,..........._ .................................... <br />On ? L, 2_1-----�7�� <br />..................m................ �—Iti...........-----..... Street <br />� J .......... ... <br />Lot.............................................................. IIlock No.--••--•-•-••-...................... <br />Additiun............��r���.< ................................................................. <br />Remarks �" '_� �c-o,, ..._/ �r �. ci ir-L�u-�- <br />...................................................................•-�--f�--........................... <br />. ^„�(��G. �-c.w_�4J <br />�;' �' f .��, , LABOR AND MATERIAC, II9ED <br />Lead Connection Complete <br />Snddle Complete <br />Scrvice Cock <br />Ser�ice Box <br />No. Hours LaboL ............................................CosL.........---....---................................ <br />Cutin ....................Pavc:nent....................X......._............... ........................59. Ft. <br />...............---X------_ _ . . �� <br />' - ................... _... ..... . _............... <br />X........................ �� <br />........................ <br />Total ._..__ .. s„ cr <br />Urder l�eceived...._ ..............................._......................._l.................... ........ <br />ii ; ' <br />�l%or}: Compleled..r,.x,._'..:.'.:.:t.�...`.".....r.�.......__ ................................ - <br />j Foreman �� <br />