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w. o. ro�Ja �O �� <br /> CITY OF EVERETT--Wat::r Dept. <br /> Application N%.f:�:`...Y.r/.'.:. Date......G.�.:��.::�.::�...............19�.�' <br /> Install...._....................... .inch watet service pipe <br /> r, �, . <br /> For ....... ..G......�.........,.G.s/x��.::__....._.............................................. <br /> � . <br /> On ' <br /> ...............�r_l,D.....�.......�tJ.�:.....�,.�.:...,/.i1................._.... Street <br /> Lot.............................................................. Block No..................................... <br /> Adclition ........ ....... ........................................................................................ <br /> , .,,� <br /> Remarks .......�::x.�:...�,..c�r..�.....�:.:..�.�.c...,?................................. <br /> .................................................................................................................. <br /> ................................................................................................................... <br /> ....................... ................................................................................................. <br /> _.._........................ .._. _............................................................................. <br /> Superintendent <br /> � � .�,�,�_ <br /> WROR AND MATF.RIAL USED <br /> ------ Size <br /> --- <br /> ._.......N�................._.........._...... ?.cad Connectbn Complete <br /> ._........................................._........� Snddle Complete <br /> .......................It........................... .......................................................................Fi pc <br /> _.__........._................................._ Qcrvice Cock <br /> ........................... ......................... Setvicc Bax <br /> No. lic� vbor..............................................Coat.................................................... <br /> CulSn......_..... ... .Fevemenl ..................X........................ .......................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X....................... �� <br /> ........................ <br /> Tolal ..._..._..............Sq.Fl. <br /> _ �. <br /> Remarks...................................... ......... . ....... ......................_............._....... <br /> . . . ........._.............................................._.........._.........._................ <br /> ........................................................................................................................ <br /> OrderRecei��ed.............................................................................................. <br /> lVorkCompletcd............__........._....._.__......._... . ... . .......... ..._.......... . \ <br /> Foremnn � <br /> 1 <br />