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. - �'9 9.�" � ,, <br /> S 1 PriebNM 7.�n — . - <br /> W.U.Form) <br /> CITY OF EVERETT--Water Dept. <br /> ' c-- . ; ; �r� i <br /> P.pplication No......�. �9.`". Date...................:.:..�./.....:............_19.__. <br /> ' ` Install.......��.�..�.........../inch water service pipe <br /> ^ _d .c , <br /> For ..._..... .:`�S�:IL.......L..:.:!:...:..L..�.:....e.�:............................. ..........._ I <br /> L/........� � �— �--` ' � <br /> On .......... �C..�..../..-�............._C.....::L.....:.......'._r.'.....L:..:t... Street � <br /> Lot............................................................ Block No................................--•-- <br /> Addition .........ry. ...................4-`l�s.a,'.V�.�:..✓............�........... � ...� <br /> Remnrks ._....(: ,.�L!::.1:t.::!'j.�''... . . t ' �� t/ 17......t:.....�. I <br /> 0 ......................... .. <br /> ............................... _.....� . , <br /> .. ........�,�...... ...........................��).....................;..........._...................... <br /> _. .�. ry>.� . . i�............... . ..��,.....,.;..)...................... <br /> . <br /> b� : `..... ` �< < . , , . <br /> .. .. . <br /> __:.. - ... ............ ... ....._:..�::.....`�.._r...................:-..� <br /> . ..._ ......�.... p <br /> . • '"'�� �� � Su erintendent <br /> _..� y� n'. �/.�! i � / ( � <br /> � ' � LA OR AND MATERIAL UBED 'y <br /> No. ' �I. -'� Sizc � ------ <br /> -- --...-------- —-.._.--------� <br /> .................................................._J Lmd Conneclion ComPlcle <br /> ._.............................__..........._....J Snddle ComPlete <br /> ...... ................ft................... ........ ....._......_..__........._........................................PiPc <br /> ...................................................... Scrvicc Cock <br /> ....................................._............... Scrvlcc IIox <br /> _._._... ..................._.................... ..................._......................................................................................... <br /> T'o. How�s l.abor__.........................................Coat.................................................... <br /> Cutin .. .._.... ._. Pnvement........_..........X_...................... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ......_............X....................._. „ <br /> ........................ <br /> ...................X..._................._ �� <br /> ........................ <br /> ToteJ . ........................Sq.Ft. <br /> ----- �—�---- - � i , � ��. <br /> .. � �. <br /> Rerr,arks��.`'j.�.. ........ ..�;r.... .....'.:.:..:........:................. .................... <br /> lr <br /> _...._..... _ ... . ___........................................................................................... <br /> __ .... _..... ........_ ...............................................................�. .................... <br /> Order Ileceived........................................................:....i:�: ..1...,..... .... <br /> � _ �J . , ,:�.s. f, ,�, <br /> \�:nrk Complcled...�..:.1��.. ....,J..:...........:........... ... ............... .. .. <br /> Foreman/ <br />