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- --- __.._ _ . <br /> � 943 „ ,,, <br /> � <br /> w, t. ro ✓ <br /> CITY OF EVERETT--Water Dept. <br /> Application NoI...Y_Y.y�. Date..�.:::1---_-.--............._-.......19_.lc. ,� <br /> Inst ll........ ......... 'nch water service gipe <br /> ^�E�.'-/� <br /> For .�rf.`.c.F.'.Yt.:�.:c<..._ .4.':....::.l,e.e..'.z,s��........................:..'_" <br /> On . � <br /> � - <br /> _...�}Z`_`.�'" -A--- {!.:cz.4,u............. -�-..._...._......._.. Street <br /> Lot---"�-Z/2.--. ..�T�d.'s3'.s--------- Blxk No,--�---------------.._.__. <br /> Addition .........................._.........-----�---.............-�-----............ <br /> Remarks -......_._... - ...... - ------.... - � <br /> /J . . . . <br /> _.__.._.............._......_L��sa2:Y..4(.y�Ll.-�Z�i.'__."._.._.'.._..._..'_'_'............. <br /> _.......""'"'"".....__..._._..__......"""""""""_"_'""'""..................................._...............""'-... <br /> .._.........._......_'"""'"""_"""""""_"'"_".._............._.....'"""'"'""""".._"""""""""_.......""....""""' <br /> ....."""'"'""'""'"""""'"'".........._.....__..._""""""""""_"'_....""""".........................""_"_"""_""" . <br /> Supera�fendeat <br /> LABOR AND MATEBIAL II36D <br /> No. Size I <br /> .... .................._..._............._... Lead Connection Complete � <br /> .........._.................._....__............_ F�dd7.e Complete <br /> ........._............ft...._....._..........._. .___..............-.......---.............................._.......Pipe <br /> ..................._............__.._...__..... Setvice Cock <br /> ....._..........._.........._............._..'.. Service Box <br /> No. t;ours Laiwr......._...._____......_......._......Cost......_...'..............._....................... <br /> Cut in.__._............Pavement_:_............._X._..._......... ....._Sq.Ft. <br /> ....................X........................ �. <br /> ......._............... <br /> ......._...........X.................... �� <br /> ....................X........._.............. �, <br /> ........................ <br /> Total ...............__.._3q.Ft. <br /> Remarks..............___-... ___...- ..._.................-- <br /> _........_...----........._................................ - ...... - __...._.......- .,..... <br /> OrderReceived._...--....---.._....__..._...._....-----...---------.....__.------------ <br /> �Vork Completed..__...__.----...._.___...__-----_.._._--_-----__._. .. \ <br /> .._ ---- �. <br /> Foreman � <br />