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!� `�'� ' � � <br />� � <br />+ r,�=r � <br />il� � :y. .. . <br />'1���@r,�'a' FF�� r. ; <br />I— ,..x��1���,�a�'fi . <br />Y' <br />h 1� . I', <br />�!� �Hi 1 <br />1�P (• <br />��Z f <br />� <br />yJ <br />��1���'�1 �. � _ . . <br />Fa� ' , <br />, <br />��-- <br />sun,r,� �. <br />c� '��, <br />� pt�r.. . . . <br />�I6�,': .,.. .. , _ . �. - . <br />r-.: i <br />. �:k(,.....,,.. , <br />i ?t. <br />9. J. PRI[O[ YM ,��'' � � � � � <br />h'. O. (ORM ] � <br />' C1TY OF EV�RETT--Water Dept. <br />, .: �, �; ._�. <br />Application No...._.... ` :, � � � , , � <br />Date ..........:..�::_�_...._.........._..._19.... <br />lnstall ....................._.._....inch water service pipe <br />For........................._......... <br />... __..---- ......._.. . ......... <br />. '� - // <br />On ._ .............�./1...........L�.�i�l�.�z�.......__.... ... <br />. <br />Lot_ .....................- --�•-----.. _................... Block No.. <br />Addition..__ ........................._..... -........................... <br />Remarks......................... .. . --- <br />_.......--.......__......... <br />___ .......... ......... - - <br />.- <br />'� _ ' <br />. �..4 o.z..........9......ti..-.�. <br />xo. ; s�:� <br />Street <br />Superintendent <br />LAROR AS`D MATERIAL USED <br />_-....I Lead Conneclion Completc <br />..... Siddlc C�mplcle <br />. ... . .._..._. ...... .. ..._ _.... ........Pipc <br />,... Scrvuc Cock <br />...... $CC✓1CC BOX <br />. .. . ..I ...... .......... <br />.. . ............. . . . <br />No. N.ours L:�bor . ......... .. ...... ...........Cast ...................... .... ..... .. <br />Cut in . ...._.. . Pavement. ..........X . ...... ... ................... Sq. Ft. <br />_ ....._ .._.X.._ .................... �i <br />. .... . ............ <br />. . ........X ..... . .............. �� <br />......_ ......_... <br />....................x....................... ...................... „ <br />Total ............._.........Sq. Fl. <br />� _�_ <br />Remarks............................................................................................................. -- <br />Order Receiced...... <br />'�� \Vork Completcd... <br />������ ��Foreman\ <br />