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/�/� � <br /> L . OR2'�C�M L 9 � ,� ' ���� <br /> . D. IORM <br /> CITY OF EVERETT--Water Dept. <br /> Application No��f:�-L.. Datc.............�.<.-::.:�......�.............19:�.r'_ <br /> �,/Install........;%'.............inch water service pipe <br /> For ...........i�/.:r::...._..��<......_��-.-�.-:.�1::................_--------- <br /> On ...........:�.I�o�-----.�-�...a-�:��.............._/........................... Street <br /> Lot................./.............................---•---_... Block No.....-�---�---�---.................. <br /> A�Idition ..--.....F�::�...i�m..C�v................................................._----•- <br /> Hemarks ..............................................._--..._.....----•------•---._..---....._...... <br /> , �/ <br /> ...._._.:.�%G(.cs.s-:.....tliurlsa,..�...............:.m.eau........s�tcLs�...[.u.....KL_ <br /> �, <br /> .........................................................._......................."'...._..........."_""'.._"_"'_... <br /> ....... ....._. .....p....A...Lyi...��....................�.............""'"..._....""^'""""'"'_.._... <br /> ... ... �j <br /> ..........�...�.�...�..._.�. ��..�.<!�""............."'"'"'""'"".........e/:.�/�."'1sY.!�.—Y�e. ... <br /> � i9�� � � Supertntend nt <br /> DF���'�v _� :, � <br /> � - )�-�,.- <br /> [i.' � `� I.A�90R AND MAT�:RIAL USF.D <br /> No. ' ^ S�ie�' <br /> ... ......................................__.. :,ead Conaection Complete <br /> ...................................................... Saddle ComPlete <br /> ................�...St._..:,i�::.:.............. ...:%?..�.:..:...:.................._...............................Pipe <br /> , '� . , <br /> .............................. cf..:.;.............. Scrviec Cock <br /> ..................._.�......._..._................. Service Box <br /> No. Hours Labor..........................._.................Cost......................................._............ <br /> Cutin..........._......Paven�nt....................X........................ ._........._.....__.Sq.Ft. <br /> . �� <br /> / . . . ............ ........ <br /> � t , ,. ,- . ........ ......... ....... ......._............... <br /> _ � . <br /> ; . �� <br /> ....................X........................ ......................-- <br /> . . _ . . . ....................X_...................... �� <br /> Total .......................Sq.Ft. <br /> ----- — - _-- <br /> � ... <br /> Remarks....._...._............-...j.....::l�.z....::.r: '........................................_........... <br /> ..................................................:...:........:._-'-................................. .................. <br /> ....................._................_....w.�.....r.,.._t.:..:......_.................._................_......_... <br /> OrderReceived............_......................__......_......_....._._..........._................. <br /> . � . Fr. ' . � '. ,' . <br /> WorkCompleted i�....................................:...._.. ._......:..:......................__. <br /> Fnreman <br /> L <br />