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W.O.�l�pRN ]�M � 3486 ` � ' • �` <br /> CtTY OF EVERETT--vilater Dept. <br /> , � <br /> � <br /> Application No.......... . .. ... .... Daie............dUM.}......19fi1...............19...... <br /> Install..........._................. .inch water service pipe <br /> I�or ..._... ................. .. <br /> ... _ . .._.. ..........................-....... .. <br /> ...........�..�.�..�. ... <br /> On ...�.f�...�L<...�Z..,.c..e�c��....1�}:��.G.:t.�<......................... Street <br /> Lot.............................................................. Dlock No..................................... <br /> Addition ........ .......................... <br /> Fcmarks .................................. ................................................................... <br /> ........................................................................................................................ <br /> .............................................................................................. ........................ <br /> ........................................................................................................................ <br /> _ ...... ..................................._.................................................................__......... <br /> Superintcndent <br /> � LABOR AND MATERiAL USED <br /> Na � Sixe I <br /> ---�-- --r------- <br /> .................................._.__....... .i Lcad Connection Complete <br /> .. ..... .................................._....._. Snddlc Complcte <br /> .._...................ft............................ ............_.............._._.._........._...._........_..._...PiPc <br /> . .___........_...__.._....................... Scrvice Cock <br /> .................................................... Scr':ice Box <br /> >Io. How�s Lshor......_.._....._.................._.......Cost............................................_...... <br /> Cutin...._._...___..Pavcment....................X..._...........__... ......................_SG.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ......_............X........................ �, <br /> .................._.. <br /> ....................X........................ �, <br /> ...................... <br /> lblal ..........._........._Sq.Ft. <br /> _—__—___ __._.._.__._.—__..__'—_.— <br /> — __ <br /> Remarks.._..__............................................... ._...................................... . <br /> . .._.._......___.......... ...................................... ........_............................... <br /> ........................................................................ ............ ............................... <br /> OrderRecci��ed. _..................................... . ........................................... / <br /> \Voi�: Complcted....... ...._............_..... ..._.............. __....._......._........_...__. <br /> Fnreman <br />