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Form 0 1300 0-1-17 C. P. <br />CITY OF EVERETT—Water Dept. <br />4-_ Hate__-- dl 11-------- 191 7. <br />Application No.___ S _- <br />` <br />Install-__-_ Z ------ inch water service pipe <br />For _ - <br />------- Street <br />Lot.---/5_ _L/?._---•.----Block No. __!fi---- - <br />------------ <br />�I -------------- <br />Arldition ___.�sX.td1L-6-td'�'�--- ---------'- <br />-- <br />Remarks ----- --------- <br />-------- <br />--- ------- ------ ---- - -- --- <br />--- - -- -- --------- -- - - -- <br />- <br />--------- <br />' SaperinlenJent <br />LABOR AND MATERIAL USED <br />NO. 612E — <br />l_-__-.LenJ Connection Complete <br />n <br />.-.._ SndJ1• nmplete <br />iqn <br />/ <br />z _ Service Cock <br />.__. Service Box <br />------------ ------- <br />No. Hours Labor __-__.-______Cost_-'-� _________________ <br />---_------------- Sq. Pt. <br />._.Pavement----'-h----- <br />-'_. ------------- --- <br />Cuts 1n. _ _' ------ -- .. <br />Total. __.___--.S4F <br />------------------------ <br />-----•------------------------- ------- ------- ------------ <br />--------- <br />- ------------------------------------------ ........... <br />Order Received ___ _____- 1- <br />\'York Completed ______-. - T /(oj(-- ----""""" <br />