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-�- <br /> W. O. fORM 0 ����/_� . .. i _ . . �._ _a' /'IC, �/_ _ <br /> � <br /> CITY OF EVERETT--V(later Dept. <br /> i �</ � - / <br /> Application No..�.:...........1... Date...:..'......�..............................19.C'7� <br /> Install..............................inch water service pipe <br /> For ...........�................................................................................................ <br /> _, . ... <br /> On .......�:.:a..�...- .%.:�..:r.�_���.w�................._............... Street <br /> Lot.............................................................. Block No.............---�-�--................ <br /> Adclition .......................................................................................................... <br /> Remarks .........................................................................................................� . <br /> ............................................................................................................................ <br /> ...................................................... � ................................................................. <br /> ............_..............................................................................._....----...........---�--- <br /> .......................................................................... ................................�-•--..... <br /> Superintendent <br /> LABOR AND MATERIAL USGD � <br /> No. Size I <br /> ...................................................... :,ead Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................f t............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ............................................:......... Service Box <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -- -- ---- <br /> Re tri a rks.............. ............................................................................................ <br /> .......................................................................................................................... <br /> .................................... <br /> OrderReceived............................................................................................... <br /> :-. \4nrk Completed....................................................._..................................... <br /> Foreman <br />