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..� ._�,y,, 778 , . <br /> � ��ti�� <br /> w. o. ra�w a . <br /> CITY OF EVERETT--Water Dept. <br /> �� -i/� .�� <br /> � <br /> Application fIo!...�............_. .... Date....�:�< .. ......�.................19...... <br /> � dhch water servlce i e <br /> 0 n . Install......rs�...,'..,.,..�.f............. P P <br /> �W„ For ............J.�. LL�t.c.f..��...�.��cy.L.�i.L/'.h-d-a�....................._.......... <br /> � On ...........1/ 4r.f[' ...'.!s-.Y'..�1...,�.t�.'....... ................. . . . Street <br /> � ✓,� �........... <br /> Lot...�.�..'... .!c.ct.1......................... Block No..................................... <br /> :1dc3ition .................................. ..................... ............................................ <br /> Remar k.°. ................................................. ........................................................ <br /> i .�... .. . . . . . . . ................. <br /> �.......... . . ..... . . <br /> . . <br /> . .. . . . <br /> __._... .. . <br /> � __ ...... ....................... ....... ... ....... .. . .................. .. <br /> � .. <br /> i,, . . ....................... ..... .. . . �................. <br /> �_.. , �,.. .. ..... , . <br /> . ...::..,..,�...����-:.......... ........................_r,�. ..�.v..� <br /> ' ., buperfntenden <br /> , s��,!C'� s��. <br /> � � % � LA60R AND MA9'F.RIAL USED <br /> No. ' Slze ( ______ _ . _ <br /> ---- — <br /> ................................................... I.ead Conacctiort Con:Plete <br /> ................................_7r.............. 9,�dd�e CovlPlete <br /> ........-=7.1.a...It....�................. . ..:._...:.::..:.�'_................_... ....................PiPe <br /> .................................. �ervice Cock <br /> �,......._.....,:� . <br /> .................�..._rI`�? t1r.��':. - 6eivlce Oox <br /> .........................J.�.......�..........�..., ..._......_.............................__.1.............__.............................................. <br /> . ' <br /> .. ...............�.... L.:....�:...�......_.. .........................................._......................... ........................................ <br /> No. Hours Lsbnr._..__........................__.........Cost.......................... ............_.......... <br /> Cutin...... .............Puvement...................X....................... ........................Sy.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> . ...................... <br /> ...................X........................ ........__............ " <br /> Total ........................Sq.Ft. <br /> Remarks.....................1.11....._(.�...�......:�.....:..,...__....................................... <br /> ; ;' <br /> .. .. . _. ...... ....._....__....._._..._..�e�..�.id...........r_".......r.i....i............................... <br /> ... .. _.............._................J.....� ,:�.,:.,....:�.................................................. <br /> . nu,� <br /> OrderY,ecen•,�d...............�.....'..........._......�....!:^...........................__ _ . � <br /> tVork Compf��ted_ __.Ji -�. �_'�. 'L <br /> ........ .................... .......... ......__. <br /> Foreman <br />