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w. o. .onr . <br /> � 979 � ;; � �_ <br /> CITY OF EVERETT--Water Dept. <br /> P,pplication No�S'.:,�..;�..L.. Date.............�{. .:..../.....................19..1'..7 <br /> � � In�tull........................._... .inch water service pfpe <br /> i _ <br /> For . .1,.._a�...__.cY.,�:�.t�<7.................... <br /> � ................. .......... <br /> On ......... ./..:Cl....s........17.A[..�.l.r.�.:,. Street <br /> ...................... ............... <br /> Lot........................................... .................. Rlock No..................................... <br /> Adclition .. ........ <br /> _........_ . ............................................................................ <br /> Rrmerks ......... <br /> .. ............ ............................. . <br /> ..................... <br /> i . <br /> . .................... <br /> _................. .... ................ �:t...r1.4.LS.4./...L._:..Gd'1(..................................... <br /> ���....:......�`... ................... <br /> � ......... ............................. <br /> ... .......................................... <br /> '� � 1 <br /> � _....n.....�(.. .:............._............................ <br /> ....................... <br /> ............... ............ ... ................................................ ..................... ............... <br /> �'� - _. j;.� Superintendent <br /> LAflOR AND MATERIAL U9EP � <br /> _ __Na._ Sine I <br /> —i"---- ---------- — <br /> Lcad Connectfon Complete <br /> .................................................__.I <br /> .._................................. ......_..___ Sac'.dle Complcle <br /> ....._................ft............................ ................. ............_. _....................................Pipe <br /> ._.._.............................................. S�:rvice Cock <br /> ...__............................................... Sr.rvice Dox <br /> � _--.... <br /> .......... <br /> No. Hours Lsbor_.__._....................................Cont................................ <br /> ................. <br /> Cut in_.. ....__. ..._Favement........._.._....X....................... ...........Sq.Ft. <br /> ........... <br /> .........._.. .....X....................... ...................._.. .� <br /> ..__............_X........................ ... ... �� <br /> . ............... <br /> ....................X....._,............._ �� <br /> ........................ <br /> Tatal .................._...Sq.Ft. <br /> —,�— <br /> Reir.a rks....................................................... ............................................... <br /> ___ _.... . ._ .................................................................................................. <br /> __......__................_............................................................................_........... <br /> Order 1?ecci�ed _ ........ ........ ..... ... __ ......... ... / <br /> ... <br /> \Vork Complctvd_ _ . <br /> _ _ _._. .. _ . _ <br /> Forrm:m <br /> s <br />