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0. J. PHI[p[ 9 11� ��� I <br />W. �. ICNM`� , (� ...' ... ' <br />CITY OF EVERETT--Water Dept. � .. <br />,-= .. ,�, _,. <br />// // r.�� � .......... �1 <br />Application No ............._"....... Uate..............---. �. ............_...19...... <br />Install{ ............. inch w.ier ser✓ice pipe <br />. , ........._ . <br />_ .. < <br />, . , ., ,, r, ;.���,: C, ,. <br />� <br />bor............/......-:...:....::.:.....�.:.........t...:.....4::........_:..::................------....----... <br />On .......-lf..`:`..�• .. ...........•.�.�....�.....�i,1:�.......---��---..................... Street <br />Lot..................._...,..�......................,....... �Block No..-----. .......................... <br />Actciition ............::::..:_: . � _�.: �.....,......:....:^ t::;...G_:.... �...�_................... <br />/, <br />Remecks---........--..L.�= ........... ..........�- ---- - -- ---- -_ __ <br />- . . .i 7'-- � .� -�: .. _ . . _ . <br />, :� . , v : -/ � � � . <br />A- ri //�� <br />'M1r; .��....-�-1X� ..J_/ �_ ,r^ <br />_ � / r <br />I � �' <br />LABOft AND MATERIAI. USED <br />Lead Connection Complete <br />Saddlr Complete <br />........................................................................Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor .............................................Cost.................................................... <br />Cutin......._...........Pave....tcnt ....................X......._............... ........................Sq. Ft. <br />.....................X........................ �� <br />....... _ ............... <br />................. .. X........................ ........................ �� <br />...................�........................ �� <br />........................ <br />Total ........................59. Ft. <br />s <br />OrderP,.eceived ...................................................:......: ...._• ................. <br />�. . <br />_ ^ .. <br />�Vork C.^.mpleted..r:..:..._ :_..... . .... <br />: ........ _...... _....... _ _ ................ ......... ... .. <br />Forema <br />