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-/ � 9ZS - - .� �-,:� <br /> w. n. row.. a <br /> CITY OF EVERETT--Water Dept.� <br /> i/" Date....... .................__...................19...... <br /> Applicalion No.�.l....:___ ..... <br /> ` , Install...:..LS_.........._. _.inch water service pipe <br /> F;,,. � �1_ , - _ ..._...... ...... _............... .... <br /> , <br /> . ._. ... ...... ........... ..... . <br /> .... , , <br /> ,' _ .................... Strcet <br /> Cn ._.....:_.....L.'...:................. ..:.........�...�. ................... <br /> , l..ot... ......................................................... IIlock No.................................... <br /> � i A�idition . ._... _............. . .............................. ._.........._................................ <br /> Remarks .......................................................................................................... <br /> ..................................................................................................................... <br /> � � - ......... .......... <br /> ,._.._.....�......_....__.......................L...t..'��ac..:..:...:..r................... <br /> ,� • ' <br /> � .............� � � . � ...._.................... <br /> . ......................... ......................�....... <br /> ... . .___..... . � <br /> .. . ......._�................_,...i.......:.. <br /> I�.......... . �..... . .� t� �_.................................... . SuP�rinlendent <br /> \i ��� �. ._ <br /> V � <br /> I.AROR AND MATERIAL USED <br /> No. _. l_.S�zc--- ..------—._ -- <br /> ___ _ r <br /> I � Lcud Connection Complete <br /> ............................_....__._.. _.._.�i <br /> Saddle Complete <br /> .�.....�............it................_......... <br /> . .._. .PiPe <br /> , _.,.. Scrvicc Cock <br /> ., , ... .. Scrvice Dox <br /> ... _ . .. .... . ..... .... ............................................. .... _.... .. <br /> ... .. . .. . . ........... .. <br /> ....... ... ... .._.......Cosl................................................._. <br /> No. Hour= Latwr. ..__..... . . .... . . <br /> Cul in.. ... ... .__I'avement...................X...................._.. ........................Sq.Ft. <br /> ....................X....................... ........................ <br /> �, <br /> __._...X........................ ........................ <br /> �� <br /> __ .._ .X......_............... ..._................._ �� <br /> . ......._..... <br /> ._ Total ..._................._Sq.Ft. <br /> s-=-� .-_ _ . <br /> z---- — <br /> ---��—_� ------- <br /> — -—' <br /> Remarks. ._.'.� . ... ......................_...__..... ................................................... <br /> __......_ _._...;.✓...._............................................................................................ <br /> .......... ................... ............................... .............. <br /> Order lteccieed_ . ... __. .... .. . ............_............................._....... ................ / <br /> \VorW Complcted. . _._.. _ ......... . _.. .__.... .. 1 <br /> _. . <br /> Faremnn <br />