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9. J. PPICBI ]� 3 O \ � � � �� ✓ � <br />W. O. fORM ] <br />CITY OF EVERETT--Water Dept. <br />/��/.: ��'�;:.:�..:�-.........is�=:. <br />Application No...:..�........7:..... Aate........,.;:........ .. <br />,- Install.......:: �'�...• �=��-� .inch water service pipe <br />/ . <br />� . , - ...;T...�.. �f -' ...................................... <br />For ..........,:cC�.r, r:: :�::�... , <br />-:.__.... <br />On ............Y ./`..��....1�....../s'c.��.c ................................................ Stmet <br />T.�� _ - ........................................... Block No...-�---............................. <br />Addition......................................._.......................................................- - <br />Remarks ..... .l.1.'i.ce.u.......�Y.a.s.<.:c:.� :..................................................... <br />....... .�.......--,---- o <br />.., iF ; �n:. � 0 . �. /p r :t�Y........... <br />U <br />. ............. ....... <br />�. ..�.. �, ..................... i <br />........ ..; �... '�r�.. ....J *�. . SuPerinteudent <br />�P, .,� <br />�r� <br />AND MATEBIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />Service Cock <br />Servicc Hoz <br />.. Cast .................................................... <br />No. Aours Labor ............................................ <br />Cutin ....................Pavemcnl....................X........................ ........................Sq. Ft. <br />� ....................X........................ ......._............... <br />,� <br />' ....................Ji........................ ........................ <br />�� <br />....................X........................ ...................... <br />�� <br />Total ........................Sq. Ft. <br />�— =_�------------- <br />P. em a r ks .................................. <br />............. ............................................................. <br />.................................................... <br />Ordcr Recei�•ed .......................... <br />\Vork Completed..:......._....:..... <br />........Foremen... / <br />