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- - / �3GD �`f :_, J✓ <br />w. o. ronH a „ �� <br />C�ITY �JF EVERETT--Water. Dept. <br />� ;__��- �� � � i tss� <br />/ `' <br />Date....... � <br />- APPlir.ttion No..�. �: 5...: � �.. ....19...... <br />..................................... <br />� Installl ...............................inch water service pipe <br />For ........�............��_`-`:..:?.:t�.::<..z.:_4 :.:::........... <br />...... - .................. <br />� �� � <br />Lot...........�....,..?-.(..' f........1.......�:.s<:.�..<..--�;_c;�C'.:..:�:...... <br />On " �$� � Street <br />.............................�-�--. lock No..................................... <br />Adciition.......................................................................................................... <br />Remarks.......................................................................................................... <br />........................................ .........................................................�-��---................ <br />Superintendent <br />LABOR AND MATERIAL II3ED � <br />...._ ....................I :.cad Connectior Cor:�plete <br />..........................I gaddle ComnleW <br />......................... ....................... .........................................Pipc <br />........... ............. Scrvicc Coc}. <br />....... . ... _...... ie: JiCe BoY. <br />......................_...� ..........................� ................................................................................................................. <br />No. Iiours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavemenl....................X........................ ........................Sq. Ft. <br />....................X........................ �. <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Tota: ........................Sq. Ft. <br />� ------ --- --'- - — � <br />Remarks ........................................................ ...... ................................... _.... <br />......_ ....... ............. ......... .................................__................_....._.... .............. <br />............................................................ ....................................... .............. <br />OrderReceieed ........................................................................................ .... <br />l4'urk Campleted......_ ............................_............._.........__.............._....... <br />Foreman <br />