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5 1.PrieMiM7A41� 2 3 7�. . <br />W. D. Fo� � <br />CITY OF EVERETI'--W%ter ept. <br />_. .. .., �, , <br />' /...... Date ..................�... 19.::.. <br />Applicat�on No :.....:....::...... . <br />......................... <br />Install ..:..:.:.......•�-�•�-- -��inch water service pipe <br />...... <br />:.—�,...`.`:� :::..:. ..............................:............................... . . . <br />For .�.:......... <br />� � , u_�< ........................................ Street <br />On ......�-c��.�....�'L_�.....�'.... <br />Lci.............................................................. Block No..................................... <br />Addition ...... .r�--7 f ........................... ........................�.................. J- ��„ <br />......L/�y2-)'�..'�c_ .��.�:!t.�-:....._�3 .:........................ <br />............ .. . <br />�emarls .......................... .. <br />� - .............._----........... <br />. .. _. .........../p...` . .:.:...................................................---............ _... <br />...... <br />..... <br />� . .............' <br />,, _�, j�� . , ,............ <br />; �a..�.L ........... ....._,..�.�.:._.....................:.......� ;,..�... <br />,.��: :1..:..... �.:4 :�-�-:e ................ <br />..............................................................._. ' /, SuPerintendent <br />/,, : %� :��� <br />LABOR AND MATERIAL <br />1.cad Connection Complete <br />�nddle Complete <br />......................I Scrvice Cock <br />Servicc Box <br />............._.. <br />fin. IIours a ur ......................................... <br />........................Sq. Ft. <br />Cut in..........._._._Pavement......_............X ......................_ �, <br />........................ <br />.................... ....................... �. <br />a........................ ._..................... <br />.................... �, <br />....................X....................... ........................ <br />Tot�l ....Sq. Ft. <br />Rerr.arlcs........ _ . <br />. _....... _... _ _. _... _ .. <br />....................._._..__.. <br />Order P,ccci�•ed ........................ <br />Crorl: Complcted._.__ ............. <br />........................ <br />_/ ` <br />.......................... ...................... .......... . <br />Foreman <br />