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�w � <br /> w. u. ron a� � � ' <br /> CITY OF EVERET�"I'--Wa�er Dept. <br /> Application No.. �.. __ __ ,..: Dnte....._<.�.....................................19.... . <br /> � Install............� .. ...... ..... .inch water service Fipe <br /> For '� � <br /> :.:.�..:.:.......... � . . <br /> — , , i � <br /> ...:............_.�..../._..,......_.:..:.....:..:.......................... ... .. <br /> On .. .........�.�..:._..........,�..:............l...c......,......._......_........................ Street <br /> I.ot.............................................................. Block No............................. <br /> ........ <br /> Adiiition ... ..................................................... <br /> �� �..................................... <br /> Remarks ........ .....................�....:.:.........:.... ' �' <br /> . ................................................. <br /> _..... ... . .... .__ .......... ......................................................... ...................... <br /> __....... ..__ .. ._.................................................................................................. <br /> __.........................................................................................._........................... <br /> .......... ..... .... ..... .. ._..................................__................................... <br /> SuperintenAcnt <br /> LAROR AfiD MATERIAL USED <br /> No. Size I <br /> - — --- <br /> -----r —_ -- -- <br /> — -- ---- <br /> .._.....................................__...._. I :.rad Cnnnection Complete <br /> . . ...__............... ........_. .___.._ .. � S.:ddlc Completc <br /> __. .........f6...... .__ .. .. .. . ........PiPe <br /> .. ....__... . __. ...._...... <br /> . .__.... .. ..._ .. ........ ........ Scrvice Cock <br /> . . _. ..._............ ...__.........__... � Scrvice IIux <br /> Nn Hours I.�bor ... . ... _.. . ............_...._Cost..__....... <br /> _..................................... <br /> C'nt in . 1'avrrm�nt ._....... ....................._Sq.Ft. <br /> X..__.........._ _... <br /> . . . .. _....._X......................_ �� <br /> ........................ <br /> __....X....................... �. <br /> ......_.__...._..... <br /> ._.........X........................ ,� <br /> ........................ <br /> Totnl ..............._......Sq.Ft. <br /> c-----` ---:._-,---__--.-—_-- <br /> - .-_------ <br /> Remarks.._........................................ ...... . - <br /> ....... .... . ...__ _................... <br /> __. .._ ... . . ... .............................. ................................................................ . <br /> _.........__ ... _.._.__................................................................................ ........... <br /> rlydcrRecci�•eJ...__........................................................................................ <br /> lb'ort Cnmplcted . ._._. _...__ / <br /> . .. . _ .. . ...._. Foroman <br />