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W�D Pa�IM7-��� I � �. � ' � � �/ <br /> ITY OF EVERETT--Water Dept. <br /> � , , � _. .., :, <br /> / <br /> Applicatiou No...l..!._:;:..,?.....:. Datel................................. ...:.:....18.:.] <br /> Install.........._...�.:�.. ......inch water cervlce pipe <br /> ror , ` �. ; , . � . . , � <br /> ......_...... ._.........._.............................:_�::................................ <br /> ...............�........�..."............�.... / �� �___ <br /> On .................................................... Street <br /> Lnt........ ......... ........................................... Block No.. ............---.....---........... <br /> Addition ..._.._......................................................._. ._............................... . <br /> Remarks ...�:._ ' �'n�-�� <br /> .....................:.......................:........._...---........... ........... <br /> _ ._, �,.,� <br /> ..................�.-'..._....:.. .................... ................................�: ............... <br /> .......... . ... �2 , <br /> .. , �A... - <br /> ...............................�..... .. ........ ................................... <br /> l � o..�.:�.,.. <br /> __ ..._... r. . . ^/ ...::..::,:�...................................... . <br /> ........E..��.�. . A95i . ��..../! , . <br /> �... ..' ..............._......{� ' �1.l...��..•_......... ..... ' <br /> �� � 7�'.iti;,lYU•�"J U'dr1�'`�!�51�Intendent \ <br /> �" , �., . ..... CU k-F 1, e� ,�� / / <br /> ��BOR AND MATERla4 IISED <br /> No. :.Izc <br /> ._ .._. .-�--------------- ' . <br /> .....................................____.........I Lend Connectlon Completc <br /> ...__............................................._� Sud�lc Coinpletc <br /> ...__...............ft......................... _....._......._....................................._............Pipe <br /> ..._�........... <br /> .........................__. Servicc Cock <br /> ...�¢,,....... �.'�............... .^:crvice Hox <br /> ... . .. . .. ................................................................................................................ <br /> ..�.-...`�.... -...�.''..�. .. ...... ..................................................... .......................................... <br /> ___ _................. <br /> _ _ ............... _ . .. ......_. ...... .... ..._................. .................................................... ................ , <br /> Nn. Iiours I.nbor..............................................Coet................................................... <br /> Cutin..__....__ _. P�vem^nt..._.. ..........X........................ ........................Sy.Fl. <br /> .................... ........................ ........................ <br /> �� <br /> ._..._...........:d........................ ....................... „ <br /> ....................X........................ �� <br /> ........................ <br /> ----'_ - ----- ---__.. ._ _ . . . <br /> Total .......................Sq.Ft. <br /> Ren�a rks......_........................................... ........... . .................................... ... <br /> __ _..........................__....... .......... ...__...................................... <br /> ____........ . ......................................................................:...:....:._..'.._........-- <br /> ()rdcr P,eceived. .........................................:..................:................................ <br /> ':;orr ComplMed........:.:.:.....:........._......................................................... .. <br /> Fnremnn / <br />