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i <br /> - . � <br /> �60� g - . . s�-3s� � <br /> w. o. ro�w <br /> CITY OF EVERETT.�Water Dept. � <br /> Application N9./.,�Q��::S.'.... Datc...........l�:-�.:....Y .19.1,j � <br /> _� . ................... <br /> Install......._�X',,.,,,�,,.tnch water servlce pipe I <br /> . For ............. -.�.�.-�c�G:sc�..........�:o..+'"z;�.�........ <br /> i ................................ <br /> On .......`. ....�..4... .P..c{.,._......_L.��:.;r�.�aFG.t .........._. Street � <br /> : .. .... ...... <br /> Lot.............................................................. Block No..................................... <br /> Addition ................ <br /> ........................................................... <br /> • ............................. <br /> Remarks ...... C.rr..��c..,:c.�r......r�l.�:�4:4.:a�:......:.t�:�:....:........ <br /> �, .�,�rt-�:. {'�.�<.< <br /> �......... ..�.........:T-s.:................................................................. <br /> ... �. <br /> .............o .....��..............:.�..s...._........................................................._... <br /> ......... ..,�,,.F�....���!1��.,��...........................a�`..�,..�_,_,�_... <br /> ...........�. . . � <br /> �;s�'.� ....... <br /> •�: , .... . . .,1. .. <br /> 90c��E. '� ) S��perintend'on/t <br /> �� J l� �1 <br /> \ LASOR AND MATERIAL IIBED <br /> .... _No.......... ........_Slte T -- <br /> � �'ead ConnecQon Complete <br /> ................y..,............,.........` Snddl- Comp;cla <br /> ...tii�..L.i..1t._....7�� � c� a ...Plpe <br /> � s,�.... . ........l.!..�e..J./.2.........✓................................ <br /> ...................... .../4!.�.�'.:... Servlce Cock <br /> ......... <br /> ...........................�a.../..�............. Servlcr Box <br /> ......................................... <br /> No. Noure Lsbor.............................................Coet............................... <br /> ..................... <br /> Cul In....................Pavement....................X........................ ..........Sq.Ft. <br /> .............. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ....................... <br /> ..................X........................ �� <br /> ....................... <br /> Total .. ...................Sq.Ft. <br /> Remarks....-''�.....t.rl..f.`.'C/........... z...�.I..CrS,.. <br /> ......................................... <br /> .................i_........t�Gt.r�ir..............�...�,t..x,......................... <br /> ................ <br /> ................................................................................................................_........... <br />' Order Reccived......................... <br /> ................ ...... <br /> , ............ ...................... <br /> 1Vork Completed�T:...:1..7...::�. ' , .' / -"' <br /> :._......:t....:.:�.�r_,_.«...1r.r..�.�.. <br /> ..__:.` <br /> R:�eman <br /> F <br />