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9. .1. PNI[IiC 3M'J�� � �' k �( {� <br />W. U. (OnM ] U l! l. <br />CITY OF EVERETT--Water Dept. <br />�; .� �- �, <br />.. Dale ............. . , <br />. ,J N <br />ApplicationNo .................. .....................................19...... <br />Install ...............................inch water service pipe <br />For.....................................�.....1. . . - �—............._................................................ <br />On ....... �?.:: �,�.�n.....:.e/�:J:<:...:L�:�:Z_G`-.�.�.L .:..................... Strcet <br />Lot........__ ..........................._.................... Block No..................................... <br />Additio� ...._ ..............._................._..._.._....._....._......................................... <br />Remarks............................................ ........................................................... <br />_ ..................................... _._.....__........_.__.......... --................_.................... <br />Superintendent <br />LABOR ANII MATERIAL USED <br />No. <br />...........................�......._......._..__._� Lcad Cnnneclion Comp!ete <br />.........................................._.....__) caddle Complete <br />......................1t..._................._.... .......... _.........__...............................................Pipc <br />..................................................... Scrvicc Cock <br />...._........_........._ _ ......................... Service Box . <br />T;o. Hours Labor_...........__ .........................._Cosl.................................................. <br />Cutin...._..._._.._ Pavemcnt__ ................X................__._. ......._..........__.Sq.FL • <br />....................X........................ . .� <br />....................... <br />_._ ...............X......................_ �� <br />........................ <br />._..........X ....................... .� <br />...... . ........................ <br />Total ._ .....................Sq. Ft. <br />----- � -----'------ '- <br />----- <br />Remarks..........__........_ ......................._...__........._.. _.................................... <br />......._ .......................................................... ......._..........._..................... <br />..................................................................... ................... <br />OrderN.ecciced ..............._.................................._.......................... .............. <br />\Vork Complct^d...._ ...................................................._._......_____ ........ <br />rore an <br />