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1 <br /> , <br /> �� <br /> 1 <br /> • w..o.Fo�m7 J011t 11-IaN '� <br /> C�TY OF EVERETT•--�Vater Dept. <br /> . � <br /> � � <br /> Applicati�n iQo.�I..¢?� _ . Datc �5� 191q?...__ <br /> '�� n <br /> � Install �(�—}r�inch ��•a[er scrvicc pipc <br /> Fr>r .. �'� o-T-..�T-s—� R� 1 �- v1 .. .. __ ._ .. . <br /> �n _....._ � '�.,.�.� \ ..�.`-`�`�.°�".�.y' ...._...Strcet <br /> �oc ._ ._ _ ._ Block No._�. 3 I � _ <br /> _ _ .. <br /> Addition..._...................................... ....... ._ ..............._........ ..............._.. __. .__.. <br /> Remarks....._.._.........................._ ___...... ........... .. .. ...__... ................................. <br /> _.... .._..__...................__. ...._..__ ....._............_.. ---....................__....._. <br /> _. _ ......_ _........_.. _._........._.... .._._................................. ............_....._...._......... <br /> :............... .. . ............_....__ ...._.__...._.. . ......__.. .._ _............. <br /> � <br /> �=•_��:.� �R_a-l.,, � <br /> __......... <br /> sPon F.�de�i �-y1'�� <br /> !_.t�), <br /> .. _ l__ _'_:_-- ._ <br /> . _. __._-__-_. __: .___._ - __-_-. _ _ _._:_:__ . ._ <br /> LAIiOIt A\U \I.1'1'61tIA1. IISI:D <br /> . _.. _ . . . . � _ _ .. <br /> No. . Sizc �� . ..�� _ . <br /> ... _.� . _ _ � _ ._ .. _ _ . _-__ . <br /> _ —__.._ <br /> . .............../......_ J._��:rr......- li Lcad Conuection ComPlete ��� <br /> -........__t.........._r:z..�/'..�:r �� Snddle:Cmnplete � <br /> .� <br /> 1 _ Sl.' ,/ i . . . . . <br /> ................. I . .../��Y._._. I ..........J....:.....1.._.!............_........PIPC <br /> ._...........L..........I.......,1•:ac.�. Serrme Cuck <br /> ..............._.:....... ...L.�_�..... . gcreicc Box <br /> .......................... ...................... . ............................................. ............._.........._...._..........._. ..... . ... <br /> —._- � _.—_—__— <br /> I ��, <br /> 'No. I3uurs Labor.........�1/�.........................Co.rL......._�..�. ......................._........._. <br /> CuL in.....__...:�............Paeement............_......R....................._. .............._. ..Sq. 1�'t. <br /> ....................5........................ �� <br /> , ................_.. <br /> ....................5........................ .........._....._. �. <br /> ....................R....................... „ <br /> .................. . <br /> Totnl ....................5 q. l+t. <br /> Remarks ... __. . .__._ .. .... ._ _......... ......._ .. ..__ <br /> ........_............ . ............ ........_....- -......._._........ <br /> __..._ . � __..... <br /> Ordcr Reccivcd. �'� I t �! ."L f � . ...n <br /> _ _ <br /> Work Complcted yr� 7 ti j'�� ........ { ....��"� � <br /> I / Fetem.n <br /> { <br />