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W. [,. IOIIFI ��� � / • <br /> CITY OF EVERETT._Water Dept. <br /> � <br /> APP1lcution No.�'�...��.�.... Date................��'c�,.�.C..............IB.F:� <br /> �-, InstF:ll.........',�Il........... .Inch water sen•ice pipe <br /> For ._......G.,,:�s.�:ztt.�.�ti:�2s'..��...�-!:t`.rr.6:cw.n:��..................... <br /> On ........?�:��:�......�`'.c.ek.s�:z.—........_....... <br /> � ..... ........................ Strect <br /> Lot.....�.:-1�a`�.................. <br /> ........_.... Flock No.....:1'.�.� <br /> Additiond ...... ......... <br /> ..............�.ua,eef...�xi r.t.r�:....5..�......................................... <br /> Remarks ..................... <br /> ..._��y.l. ................................................................................................. <br /> .... .. .e��.......................................................................................... <br /> .......� <br /> �D <br /> f _�................................................................... ................ <br /> ............ <br /> .�......_. .... ....:.............................................................._i!�n�r..�a�:�y.� <br /> ����� Superinte'Ment... <br /> —�_ ' �tigOR AND MATERIAL UBED Eg <br /> —_No._ ' Size I <br /> —��— -- ------ <br /> .......................................... <br /> -..� Lend Connectlo,i Complete <br /> ..............................................__.. � Sndu!c Completc <br /> ............�.l...f t...�._................... <br /> . .__........_........................._....._.......................Pip. <br /> ........................'... ........::::.. Service Cock <br /> ....... <br /> ......................_... ...:..:..:...:_,..,.._.I Serviec Box <br /> .....�.�.�.._�......... _�._�......._-�'��..�...I ......._�......�.�...._...............................................�.......................�............... <br /> ................................... <br /> .................................. <br /> No. Hours Lsbar..............................................Coat........................ <br /> .�: Cut in_._.._.... ... .......................... <br /> . . _.Favement........._.... X..............._....... � . <br /> ' .._ ..Sq.Fl. <br /> ...................... �. <br />- .�). .................._X........................ <br />. ,,.�. ......._............... <br /> ,,,`� � ....._.............X_..................... �� <br /> .. ........................ <br /> .; . ....................X........................ .� <br /> � � Tolal .....Sq.Fl. <br /> .. � ................... <br /> _,': Rermarks......:"....:... •,:...:._... _ <br /> . .................................................................................................... <br /> OrcierRecei��ed................................................................. <br /> , .............................. <br />, \Vork Cnmpleted..:�.....!.......;.... � <br /> _...... ....._ <br /> _. . . ....... ............. ..... . . . <br /> Foremnn / <br />