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�. J. PXICB[ ]M /3340 � � � :�� :� �� ��� <br />W. O. fORM ] <br />CITY OF EVERETT--Water Dept. <br />:,.; <br /><. ,_ : �,3 / <br />Application No...._......_......... Date.....:,_:1.L�:��:.� .............19.(�::� <br />Install....._....._.........._ ��.inch water service pipe <br />r��• ..................................................................... ............--.................. <br />--S9/.�.....C��<.���..c-a:.�. � .. .... <br />On ................. ....... ...�:�i....:............ Street <br />Lot.............................................................. Block No....---.............................. <br />^d�lition ......................................................................................................... <br />Remarks.............................................._............... - --...- -- -- - -- - <br />....._,_...... _„........._ ............. <br />.� ............ C:_�y� <br />......................................... <br />�..-......1..�: ':....�?�:. <br />Superzntendent <br />LABOR AND MATEftIAI. USED <br />Size <br />..................................................._.� Lea,i Conneclion ComPiete <br />......................................................� Saddlc Completc <br />................................................._.._ ._..............._..... <br />..............._. _.............._._ ._..._..... Scrvicc Cock <br />...._......._ . . ..........._.._.............. Ser�ice Box <br />No. Hours 1 ��bor_....._........_ ........................_.Cost.................................................... <br />Cutin........_....__Pavemenl....._............X.._ ................._. ........................Sq.Ft. <br />................... X......._................ .� <br />........................ <br />................._.X_...............---�' �� <br />........................ <br />....................X........................ �� <br />... _ _ ................. <br />Total .................__ Sq. Ft. <br />--- �--- ----------- <br />--- <br />Rcmarks......._ ........................................................... _................................_. <br />Order Receive�i ..................._.__................_................ i <br />_ ...................._.. - <br />\4brk Camplcled....._ ................__................_...........__......._._........._. � <br />Forema❑ <br />