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S.I.M.b.�VECl`n'7f �f/ V <br />V7. D. Poy'R <br />CITY OF EVERETT--Watei Dept. <br />, , �",yL- yU <br />Appli�ation No.� �.�t..�?.�..... Date ...............................................19...... <br />Install............��v..........inch water se:vice pipe <br />For ..........................................................a.......................'_............ <br />............. <br />�,`'�J_Z....._��'i..'::i..Y:.-te.�.`.:L...... Street <br />..7..... <br />On ................................... <br />• -. - �-- Block'No ..................................... <br />Addition <br />' "' ....✓..A(:.M:....: ..�..a... .... � <br />.......�....�:.. �. <br />` . . <br />............................. .... ......... ......... ................................................�........ . . .... <br />�-,;„,7 ;�c �P��...._?Ir�........C1...�:!^1.........._rl7...�..1..r.z.... <br />t.........................: ... ..... � <br />` �-�.._�......._......""'........."" <br />. � ._ ................_Superintendent <br />..... ..-...� ..................... <br />. � <br />� � LABOR AND DIATEEiAL IISED <br />........ .....----.. <br />...................... <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />Nc. 1-Iours Labor ..............................................,�. <br />Cr.t in..... ....._.....Paveinr�,t ..................X............ <br />.................... X............ <br />.................... X............ <br />....................X............ <br />Total <br />� l--- <br />� �. <br />.. <br />....J.. 1 ..:. <br />Remarks�r�:�-.�'bti�� . <br />. �� . <br />� ; i, , . .._ <br />. :: .......... .... _..,,,...:................................... <br />,.:;�. , <br />............................................................... .. <br />.. <br />Order Recei��ed .............................................. <br />\Vork Compleled..._ ..........................`......... <br />..... ........................Sq. Ft. <br />,.... . .... ................. �� <br />...... ........................ �� <br />...... ........................ .� <br />........................Sq. Ft. <br />.. f :�i�:- -.:��.. <br />. �. <br />�• ........ / <br />_ �...t_ �- <br />Foreman <br />r <br />