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8. J. PPI[!C�'�e„�� � � <br />M. O. fORM :f • <br />ITY OF EVER�TT�-Water Dept. <br />l . ., <br />Application No...../1:% :?.�%.. Dale ........ ......................................19 7:� <br />Install..........::�s...�.� _. inch water service pipe <br />� �. . <br />..... ... . <br />For . .. .L.1,�...._:.�.'...�..,:��.......:�:3.i.5...rr?.::rn.,...t <br />/` � . � / , -� ......................... <br />On ....4.:,r,'�,ct�:i�^:+.t.'.�:....I.✓:---S..r ..:................................_-�-.... Street <br />Lot....._........_ ................. ........�....,..._...... Block I�o.............--�---- <br />� I ................ <br />Addition – . ,_^ .� a.. ,. -n�.. �, �' <br />' ........._.. . :. _ <br />.... ................�---.......... �.........., . <br />,. ....... ........................... <br />� „ <br />..._,-;� ................� � �: <br />�l ��+' �� 9 <br />LABOR ANA MATEftSAL YJSED <br />i<!_GQ.?.�_;. r � s_ <br />J�_/.:. ........ <br />f.i..�.......l...: "Y.I.F.4-Ci_� <br />��",Y�'��• Y� ti,,,, <br />...... -, <br />,-....... <br />�,;-.... .� ` ' <br />........:.... :............... <br />Superintendent (�' � <br />No. Size <br />....... _ I—�--i�----------- ---- <br />-�- ........................... Lead Connection Complete <br />.................I......._�..............I Ser�ace Ra�xp]ete <br />..... .�. � Servire Coc}.:............. ......_.........Fipe <br />it. _...../ ............... � <br />1...1�.....d...., ..._.......... <br />No. Hcurs I.abar ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X......._............... ................---.....Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X......................... �� <br />........................ <br />Total ........................54. Ft. <br />Remarks. <br />� ................................................................................................................ <br />OrderPeceived ......,.../.........f...........................................'.g............................ <br />14br}_ Cnmpleted.Yd.� .�1...� .....................»...�1�'^.;..::1.-:::........._. <br />' I•'iirema� <br />