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6 .�. PR�[![ �M 1 6t / � � � • <br />W. D. �pRM '.f <br />C TY� OF E�VERETT--V(� <br />Application No....���1P..:� <br />For <br />On <br />-� ' c <br />; �__, <br />Dept. <br />�° /�/is ,.� �/ <br />servic/e, pipe <br />�!�-!:.�-� <br />:.......... Street <br />Lot--..........----_ ..............f�...........--..... Block No.---.........---........---•---••--• <br />Adilition .................11-.�..••��;_•- ��----.............. ..........._.....�.,. ....� <br />YL ......_�. �..�:.4:.Cr.<1....... ....�.�..... <br />Remarks...--......--s.�..%�..._ ............................. <br />, _, <br />..------ ........................................................... .............c�G.:.*.-: st--------- <br />. ............/1,^�...�,-'.........._----------� SuPerintendent( • <br />� �-�Y� <br />LABOR APiD MATERIAI. II3F.D <br />x�. I Size I _ <br />"1 i <br />Lead Connertion Complete <br />Saddle Complete <br />.'.� � ........................PiPe <br />........... ,� .................................. <br />Scrvice Cock <br />Service Box <br />No. Hours Labor ...............................................,.,�..........................-------------. <br />Cutin ....................Pavement....................X......._......._....... ........................Sq. Ft. <br />....................X........................ ........................ <br />�� <br />.................. <br />X ........................ ........................ �� <br />Total ........................59. Ft. <br />--------- � ---, � „ � <br />-:_ u .... r . ; <br />� � i,� <br />Rem arlts .......................... <br />...:.:..�.: t :.::..............t..........1�........ � . _i...... _t.'.: _G i........... <br />; • <br />................... <br />_........_.:.�.;....c..---___....._s ............................. / <br />............................. ............................................................................................... � <br />OrderPeceived .............................................................;..;'-......................... <br />, , , , _;;; , <br />_ ..:......:.:::.....:.. ...--.. <br />\Vor}_ Campleted..,...':.�-�.:.i:...:..:.� .:....................... Foreman <br />