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� �Q3/O <br />�� <br />w, o. ronw a <br />CITY OF EVERETT--Water ept. <br />�r`�., , <br />p�liaoiisa Nc./::... i�..'....... Date.......:�:nR_1.....��E.`_ ................19...... <br />Jns�all .............`............ .inch water ser� ice pip� <br />� / J)')..�/�. .� ..... <br />��.. . . ,. . � ............................................. <br />For...; ,. � . . .................................:........ ........ <br />- 2 {...... ..! � :�.'.i..,:...:.:� ..s_f ......................... Street <br />On ......._ �..:...'..:.:.... � _. <br />.. <br />--. Block No .................._................. <br />Lo t ................... ..... <br />Addition _......... <br />Remarks -......... <br />_. ............................ _ <br />- ..... _ _.... ....... <br />� <br />.................. . <br />. . .............. <br />_ ......................__.........__.... ............. <br />'�� � ���������� Superintendent <br />OR AND MATER[AL USED � <br />Lcad Conncetiun Complete <br />Saddlc Cmnplele <br />..._......______. <br />Scrvice Cock <br />Ser✓ice Box <br />................................ <br />Pipe <br />�— .,....._..._..........Cost ................................................. <br />No. k{ours L�bor ................. ........................SQ.FI. <br />Cul in.._..._... .._.Paven�ent..._...._...._...X ..................._... .................._.._ �, <br />..... _.... _.......n .................... _.. <br />..__........_. <br />_.... ' <br />.................... ........................ .� <br />....................X................... <br />..... ""� "__.�� <br />Total _ ...Sq. �'t. <br />.............._:----"_ <br />_ <br />�-------__ <br />- ---- <br />�_— .........._.... <br />Remarks ................ --....................... ._._.._.. <br />..... .............................. <br />_......._. <br />............... <br />_...._ ..................................._..... ....... <br />Order Heceiced ................... .____. .. <br />_____ . <br />. _......_ .........................._ poremnn <br />\Vork. Complrled._ ................... <br />