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W. O. 104M l <br /> CITY OF EVERETT--Water Dept. <br /> Application No ................... Date........... 1.%.'.........19:::.:�- <br /> Install.........: y '.......... .inch water set vice pipe <br /> For ......... ......0 .....a. y -'V.......................................... <br /> On ........... 11.'..JZ u.... ........................................ Street <br /> Lot......................4...................._......_.._... Block No................................... <br /> Addition ........ ..... ?'....ax4v''. .................................. <br /> Remarks .. .......nGC uu. ._..............................._.._.._.__........ <br /> ....................i terar.:s....-.....:......... .....,w<. ....................................._... <br /> ..................................................................... . <br /> ......................................................... <br /> �4!'..,t...r.!.A.......r................_.........._.._... <br /> Superin dent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> ............._.._......_..._.................... Lead Connection Compi . <br /> .................._........_.............I....... Saddle Complete <br /> .._..........�/_.St._.. .lu............ ......._.........._.........................................._..Pipe <br /> ......d-..... .......... Service Cock <br /> .......................I.. Service Box <br /> No. Hours Labor..........................._........._.._.Cost.......................»..................... <br /> CutIn..............._...Pavement,..................X........._.......... ......................Sq.Ft. <br /> ...................X..................... ....... .. <br /> X....................... .............I—-.... .. <br /> Total ........................Sq.Ft. <br /> ..r hw.........:...�..a. f.C...:.... . . _... <br /> .............................. <br /> ........ <br /> ..._......... ....... <br /> ..... .......... ............. .Y. ............................ . _......... <br /> ......... a ........ ..... <br /> .. <br /> OrderReceived................................._......_ .. . ............... <br /> WorkCompleted..��". _'.Ga..3.... ._. . .. . ..... .. . ..: .. .:..: .... . <br /> F rcman <br />