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a s MLIO[ a � (� 1" ���/, / <br />W. D. IO/q ] /� . � r� � �� � <br />�� ; r� <br />CITY OF EVERETT--Water Dept. <br />�� � ��� ..� ��...._:'..�', , <br />Application No .................._/. Date.....:...._/..:. ... .........19..--- <br />Install.....�.!. ::...._..........inch water service pipe <br />For .........�� :............ � , . <br />..........._ ..............._............._....---.............................. _. <br />; _ <br />On ..................._.........,..:....._...........::.:.:.....,. .. , _.. Street <br />_ .. . ........................._.._. <br />. ,� . <br />Lot ..............................:......................_..._.. Block No.---..:------.._: _---............ <br />__ � ' <br />,,.X � i . . � <br />., � ,. <br />LABOR AND MATERIAL II$ED <br />-T.ead Connection Camplete <br />�addle Complete <br />..................... P i p e <br />Service Cock <br />Servicc Dox <br />No. Hours Labor ..............................................Cosl.._.................._.._. <br />......... ............ <br />Cutin ....................Pavement....................X......._......_....... ........................59. Fl. <br />....................X..........._.._.._... �� <br />....... _ ............... <br />....................X.........._........... ..................._... ., <br />....................X........................ �� <br />........................ <br />� —_, <br />Total ....................._.Sq. Ft. <br />Remarlcs..._ ...............:...»:..:................................................... <br />, � ........................ . . <br />i ' <br />........................................ _............................................................................. <br />Order Peceiced...__ ................_.........._....... <br />lVnr}: CampleSed.Y.::. .....................:............. <br />�� <br />Foreman <br />