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/�o3y�� �i <br />w. D. IOI�M ] , � J <br />, / '<� " i <br />.CITY OF EVERETT..Water Dept. <br />Application No...L�:..::.'f f... Date..........'...._L._L.:.:.� ...............19...... <br />Install ......... .................... .inch water setvice pipe <br />For..... ................ .......................... ............... <br />� . .................................... .. . . . <br />rn................... . ..�.:.: '.. �:.:�........._ ��:..... J� � � r- / :.................. Street <br />..� .............:.. <br />Lot.............................................................. Block No..................................... <br />Addition <br />................................... ...................................................................... <br />Remarks <br />.................................................................................. _..................... <br />_ .................. '1..�1�J....................................................................................... <br />_ ......................... . <br />� <br />GABOR AND MATERIAL U3ED <br />—�--- — <br />����•�����_�� .............I I.ead Connection Complete <br />.......................... Saddle Complete <br />......................... .................................................... <br />..................... . Scrvice C'nck <br />- ....................... Service ;3ox <br />���... �........� ......... ....��..................I .. �.....� <br />.......... ....... <br />No. How�a Lsbor ................... <br />. _. _ _._ _ .................................... <br />Cutin ...............__.Puvement_..................X........................ ........................Sq. Fl. <br />....................X................. .. . . �� <br />........................ <br />....................X......................_ �� <br />........................ <br />....................X........................ �� <br />. _ ..................... <br />�.� Total .....................Sq. Ft. <br />— - � -^ — <br />emarks ...................._ ..................................... <br />-- <br />.......................................... . <br />.........PiPe <br />...... .... _ ....................... ....... _........... ........ .. <br />........................... ...... ................................................................................... <br />OrderReceived __ ................................_............_......._ ........ <br />.......... ... <br />\Vork �empleted.. _ ._............__....... <br />_ _.... _ <br />_._ _ .._..... <br />Forrman <br />