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CC 6 ¢ <br />W. D Corm ]: t7,1 s]� <br />S. J. hriebe \� 1/ � Z <br />CITY OF EVERETT--Water Dept. <br />COMER � l <br />Application No. -- ---. Date.-'---------- ----_---194 <br />install -------- - -=----;inch water service pipe <br />For _/.J1. =` �• �r-a_c_ L--------•-----•--- <br />On / = - .., ..........Street <br />BlockNo... <br />Addition............ i 1-•--..._........................... <br />Remarks / ` " " ' <br />-- - <br />:ra'�b!. <br />---------- ------------------------••--------------- I ------ <br />------------- <br />�SvOerimendent <br />LABOR AND MATERIAL USED <br />No. <br />Six <br />.............................. <br />Lead Connection Complete <br />........................... <br />.. <br />Saddle Complete <br />.................Pipe <br />Servicercock <br />............................. <br />............... <br />................ <br />Ser ioe Box 4)+ <br />'; <br />/j/ <br />` <br />;------- <br />a.r.VCLe <br />No. Hours Labor_.................F:_Cost3.� ...... .--___-_---__________ <br />Cut in ------------ Pavement --------- __X_.......... ___ ---------------Sq. Ft. <br />..._. --------- _____________ <br />l <br />.......X ............. .._ ._-_-..-___ <br />C <br />Total ---------------Sq. Ft. <br />Remarks....................................................... <br />-------- — ---------- ---------------------------- <br />Older Received -- -------------------------------- ---------- <br />Work Completed ------ ---- ------------------------ <br />oreman <br />