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'' <br />21. .1. PFICOC ]M /� �� V <br />�� � � <br />W. O. fORM :1 <br />CITY OF EVERETT--Wdter Dept. <br />,, . ;, . / <br />� ' '�:.. � Date......�:L:L.C�:t...:.,1............1 �'.� <br />Application No.......s:.�."_�%. y. <br />Install ...............................inch water service pipe <br />-- <br />For ......................._.....,........... --......... . _ . . <br />............... / <br />_J �Q /�?�7 7�G'`-!.�{.,_t.�-f�_ ................. Street <br />.��.1-.. .C... -- -- -- .. <br />On ..................... � <br />Lot.............................................................. Block No.............---..................... <br />�ddition ..............___.........................._................................................ <br />......... <br />Remarlcs.......................................... ................ ......... . .................................. <br />......---`-..._...........'-'-------- Superintendent <br />� --- ---�_ _ — <br />LABOR AND MATE[LIAL USEU —_ <br />, w.,. I Size I _ . — <br />__....___— . . <br />........................... . <br />.....__,_„_,..,.,I Lcad Connection Complete <br />...................................................... S�ddle ComPlete <br />. .............tt.. .................................................. <br />...................... ... . <br />...... ... � <br />......................................_..._..._.... Se:vice Cock <br />„_...... Scr�ice Box <br />........._...._. . _ <br />No. Aours a or....._.._ ............................... <br />Cutin.........._...._..Pavement ....................X...... <br />_.Pipe <br />Sq; Ft. <br />....................Y........................ ........................ <br />....................X....................... ............. <br />......_._ �� <br />Tolal ........................Sq. Ft. <br />---------' <br />........................... <br />Re�narks ...................................................................... ........... <br />....................................................................... <br />OrderReceiced ............................................................................................... <br />..... .... <br />\Vork Completed ......................................................................-�Foreman - <br />