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--�. <br />9. J.�FFICBa.%M � � � Z � , � ��� �/ %ri� <br />rc o. rone '� - � <br />CITY OF EVERETT--�Iater Dept. <br />Application No.�li�.3-. Date.......�.�.At..�.-.:.:• .................19��' <br />Install.........�........... ±nch water service pipe <br />� <br />For ..............�'t::...G.......L`� �..:.� ....... . .... <br />� ................................. .. . . <br />On.............�/.�'._:z?.C-....�.c.u.-a��:�-��............................ Street <br />r.�i ---- - �- ................... Block No..................................... <br />Adclition..........................................._.......................'...�................................... <br />Remarks ...z�r.....��L,c�c..rc.�,cc�.-..._�-�-.'.� ........................ <br />, •.!' <br />....._..�.Q_.1�. fs�,a�<.--........_l'..�..x.......r,c�..c ........................................ <br />................................-----. . _. . <br />. ...... ....................................._.� ,��...�... .��.�.�f.cr'_r'�y <br />................ ............................ . SuperintendenC <br />i9� -.✓, <br />LABOR AND MATERIAL U9ED <br />Lead Connection Complete <br />S. ddle Complele <br />........:� ......:....:...................................................Pipc <br />Scrvicc Cock <br />Service ". c <br />No. Hours Labor ..............................................(:ost................................................... <br />Cutin ............._.._.Pavement._.................X........................ ........................Sq.FI. <br />....................X .................... �, <br />� � ....................X.........._.........._ �� <br />........................ <br />....................X........................ �, <br />Total __ .................._Sq.FI. <br />--- =_`----- .� <br />Remarks .......................................................................... .................................. <br />...... <br />()rder Recei��ed ............................................................................................... <br />lVorl: Completed..:�.....i ....:.....:....:..........:...................:.......:....._........_.....__ / <br />Foreman <br />