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9� J. PHICBf 3M �3,� T6 � - � � `; � � �� <br />M'. O. fOPM � <br />CITY OF EVERETT,.WatPr Dept. <br />,, �: ,.; �, <br />Application No.. ..........� t�' ;i� 7 19n1 <br />._... Date .................._.........._......_........19..-�-- <br />I:�stall .............................. .inch water service pipe <br />For <br />......... .......: .................... . ................................................ .. . . . <br />, . ... <br />On ....�0 D � �3��L <br />9 ' •• Street <br />. ..... ........................ <br />.. <br />Lot............. -- -................ ......�......... P.lock No..................................... <br />Addition..._............ - ..... .................... <br />...................................................... <br />Remarks .......,. <br />........ .................--�- - <br />� <br />..... .... .......... _.. _......................... <br />....................... ...:................ ................................ .......................... <br />. Superintendent <br />_ i.ABOR A'�D MATER[AL USED <br />�---No._ ' ( --_ <br />i Size <br />-.. j Lead :onn�ction Complete <br />._...i Saddlc Complete <br />.........._� Servire Cock <br />...._......! J'l't'J1CC BOX <br />....... ... I ......................._. <br />Na. :iom�s L36or ................................... _Cost..............._................................... -- <br />Cut in.._ ................Favement....................X............._......... <br />........................Sq. Ft. <br />....................X........................ ,� <br />� ......... .............. <br />....................X........................ �� <br />........................ <br />....................X....................... �, <br />........................ <br />Total .. ._.Sy. Ft. <br />.................. . <br />------ ----------- <br />Pe�narks._ ............................... ........... .._.. — <br />......................... -- - - <br />- - - ...........................__... <br />Order F.eceived ................. <br />�Vorb- Completed .............. <br />......................... <br />������Forenan ` <br />