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i <br /> ��' ` ` . <br /> �w.n.Fo,�„� iaro i i.n.t� ti <br /> r• <br /> CITY OF EVERETT,,,Wa r Dept. <br /> APPlicntion Na _ �b II Date �7 �7 <br /> _ ..._ 192._.[. <br /> Instnll �L �� inth wntcr setvlcc pipe <br /> For .. ..�.l,p_a 4'��,�� <br /> Qn .7 �� !-� __ _ _ �� <br /> � -,,,�.�� s«�et <br /> Lot S —,,� Dlock No.. _ . 3 , <br /> _.. . <br /> __ .. ' :. <br /> .....:. � t, <br /> Addttton..........._ _.._. :. . ,: <br /> ___ . <br /> _ _. ........_ <br /> _ ... ...._._....... , . <br /> _ ,..._..... <br /> emarke : . <br /> .............................. ... . ................._.......................... <br /> _......................_... . .._......._.. ._ ....... ..._ .. ............._... <br /> _.. ......._...._......._..... .......__.........__._ <br /> _ _ <br /> ..._......... . . ...... .... .. <br /> � � <br /> _ _ .. <br /> �-- <br /> S�� � _ <br /> -_-- , <br /> _ __ _ <br /> I.ADOR AND 11A7'F.NIAL U3L:D .. .. . ..:- . .. <br /> _ Na <br /> Siza i <br /> -i . �j _ . .. . .. <br /> """""1"""' �� ���?*�+�I Lced Connectlon Complete <br /> .........I...... .. .r.X.G..'�. .I Snd le Copiplete <br /> ...... i . ., i � <br /> ........�. . . � . ✓.F�-.�C`........................... i'IPc <br /> x <br /> . . .. . ..... <br /> ........../.............t j.. ...a_ ........ . Scrvice Cock • <br /> � <br /> .........1.............. !.C_cz.LSi Scrvice Box <br /> ................................................................... <br /> .—___ .......... ._...._._........ <br /> . ....._......._.. <br /> —_—_— . _ . ... . . <br /> / i ,----- <br /> No. Houro I.ebor..... ...`.... . 7 0�----��----_ .. .---_-. ... <br /> ! � .).....................Coat��.:..-:...... <br /> Cut in..........-........ I nvrment...................X......................_............................. .. <br /> ..... ' <br /> . ....................Sq. Ft. <br /> ....................x........................ �, <br /> _.................. <br /> ....................X........................ �� <br /> ................._. <br /> ....................X....................... „ <br /> ................ . <br /> . . . Total ..................Sq. Ft. <br /> — , <br /> ._ ._- . - . _ _----.- t =._, _.."— <br /> y�- ,_ <br /> � --=--_ <br /> Remorks Matr.ri al ';lip Itin / , q <br /> JJ . .�. <br /> �/ �' _... <br /> ._..... r�q--tZ�'f�j.{.0 .�tLrt��'6Yi 7zo'LGa.�L ...._.._........ <br /> ...._. . ............ <br /> . . . . . ...._ _ • <br /> 7rdcr Rectth�cd _ _ <br /> \�ork Completed � ,,,///_ )�i !J <br /> � � ��e. �y �L..-!(.4�.Y�[v. / <br /> iFnrcm�n � <br />