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- �/�3 0 3 � -° � �, <br />+.. a. ronr. a :� i ._�( � <br />CITY OF EVERETT--Water Dept. <br />�i�� �; <br />Applieai�eallo..%,:..��.......... Date..........�'.':::..�......���o ...............19...... <br />�, lnstall ...............................inch water service pipe <br />_� . . . . -- '; � <br />For ................i.:...._........i:..,<...:..t......:..:.......�:.............................._.............. <br />, ., ._. — � . <br />On .............L.:..:.'..:�!...:._1�s:.:�...2::r.�!.:�._�..ti....................... Street <br />Lot.......................... ................................. Block No..................................... <br />Ad.�ilion .................................................................................. <br />........................ <br />Remarks.......................................................................................................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lcad Connection Complete <br />Saddle Complele <br />.................._....................................... ..._ _.....Pipe <br />Scrvicc Cock <br />Scc�ice Box <br />........................... ......................... <br />........................... ......................... <br />...........................� ..........................� ...... <br />No. Hours Labor ....................._.......................Cost..................._.................._........... <br />Cutin .................._Favemenl_.._....._........X........................ ........................59.Ft. <br />....................X........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ .� <br />........................ <br />Tos �l .................__...Sq. Ft. <br />-- -------------� --- -------- <br />Remarks............. ....................................._ _...........................__..........._..... <br />OrderRecciced . _ ......................................................................._.. .......... <br />\Vork. Completed__ _ .............................._................_..... ...................... ...... <br />Fareman <br />