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w. o. .o.� , �G3�',9 � � <br />. CITY OF EVERETT-.�Iater Dept.� <br />Application No...�`�..::'.�. �... Date..: .::.:.� .:.................. . / . <br />.. ..........19..Y...�Y <br />Instnli ..................... ........inch water service pipe <br />For.........__ ...............::�...................... <br />......................................................... . . <br />On ........L�..7 �r �.� / <br />...........................,......... ............... .... .... <br />.................... Strect <br />Lot .............................................................. Block No..................................... <br />A�I�iition ........................................... <br />................. ......................_. <br />.................... <br />emnr.ks ......................................... <br />............... ............................................... <br />................................... <br />, , ........._ ........................ <br />.................... <br />�.. <br />- .......................... <br />.... .......... ..................................................................... <br />Superintendent <br />LABOR A�ID MATERIAL USFD <br />N— u� T .. . Ske '�--- <br />"-� �� �• -.... _ Lead ConnecNon Complete <br />.......................... ....... . ....._.. �_� Snddlr, Complete <br />.......................tt.................. ...... � <br />.......................................................... .Pip, <br />.......... <br />.................................................... Servicc Cock <br />...................................................... Service Box <br />...._ _ ............ ... ........................... ........ <br />........................................... <br />..................................... <br />.................... . <br />.......... .................... <br />............................. <br />No. li�•urs L�bor....._ .....................................Coat..... , <br />............................................ .. <br />^ut in _.._..._._...Psvement........_..........X...__ ................. <br />........................Sq. Ft. <br />.................._X....................... �� <br />........................ <br />...... ......... ...X........................ „ <br />.......... _............ <br />.......... .........X........................ „ <br />... .................... <br />Total <br />. — __�,s .......... .............Sq. Ft. <br />Rernarks .................................................. .............. <br />—'_-- <br />_.... ........ _ .................. _ . <br />.................................................................................... <br />.................................................................................. ...... <br />OrderReceived_ .._.._ ......................................................... .... ................ . <br />l�brk ComplMed ............................................ � <br />_..__....._ � <br />_... _ . <br />Faremon ' <br />