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«�,.:. �,2 � g r.. . . . . <br /> w. a iow� a <br /> ITY OF EVERETT--Water Dept. <br /> ., ' ` ' ' <br /> Application No....�....�./....:.... D$fe�.............:.:....::...:............._�...19.:.... <br /> lnstell......._...::/.`........_..inch water service pipe <br /> i , • 1 <br /> ,�. <br /> For ................l..S.:..;_..:.....:.: ..�....._.t._�.::....::..i..L�.�.................................... <br /> , "� -� � ° � ' � <br /> � ! Street <br /> ................................... <br /> On .....................................:............................ . . � <br /> '�'-' " � v :� , � �-' ` <br /> .. ✓._:...._.._... Block No................_.................. <br /> Lot.......::.:...:..._::............ . . <br /> ;: <br /> Addition .......................................................................................................... <br /> Remerlca ....................._.................................._.._................. I <br /> ......................_. <br /> .....-•...1 .:...�. .....:,.,-.... .. .....................�..........._......._...__............-... <br /> � ..._. <br /> ....... . . . .. .. : � <br /> �, . <br /> �. .r . �• i � � . . <br /> ............�...........`.. .:................................:.........a......_.._.... <br /> ....,... ..��fi...... r . � , <br /> 4 � ..:....:......:...........:.'..:..<. ' <br /> _...: ,. ......�.............:...................................._. • . , <br /> � "�..... Superintendent � � �� , <br /> i� <br /> LAdOR AND MAITRIAL UBED <br /> No. Size � <br /> ......... <br /> ............ _.........................I I.end Connectlon Complete <br /> . �nddle Completc <br /> ..................._...........;................... <br /> ...............:..:�fl._....',i�'s.............. .......................................................................Pipe <br /> ',;4r. ............ Servlce Cock <br /> ......................�................ <br /> ...�..................... Service IIox <br /> .................._....... . <br /> ...._.........._........ .._....................... ..........................................................................._.. <br /> No. Houre Labor..............................................Coet................................................... <br /> CutIn....................Pevement....................X......._............... ..........._...........Sq.Ft. <br /> �Ga /„ X...................»... ......._......_....... .� <br /> ?� ................... <br /> ��/ r,�iq,.• ....................X........................ ........................ u <br /> ...................]C........................ ........................ �� <br /> Totel ........................Sq.Ft. <br /> --- <br /> .........._.......................................................... <br /> Remer ..................................i'r i <br /> , , . .. . <br /> __. ............................ <br /> ............................................ <br /> . ._a......,............................:..:.... <br /> ' , •. ..:._.�:.._...:.:.....:................ <br /> ...... <br /> ........................................................�......._...._�. <br /> OrderReceived......................:_......:.:.:.:..:.................................................. <br /> n ' � .........:�..:.....j:...:.:.:........ <br /> \Vark Campleted..I..G.'..-:r:.L:.:.:t..t:::................ Foremun / <br />