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SiPrieb�:J7�y�� ! � + <br />W. D. Parw ) •.. •. <br />CITY OF EVERETT--Water Dept. <br />— �� <br />Application No��..�.Y.. ��...... Date...... ..'-.-........... �� ._�.......1� <br />,. <br />',_. ;-�" Install..... .%f�.. � i�h water service pipe <br />'�--f�r 4_;� '1'7'� '! . <br />For............. ..................::Sl. ... .:.. 1../: ,�.r.r..�.........---.................. <br />On .........._..j.'��.....�..r.� ..............:..`.:�4f.::�:.1:.`-.:... .....,.............. Street <br />Lot........?'_�:..._�'.%: /�.�. =:.d......�lock No..----�•�1.1 ............. <br />Addition.....................C.Yi..�.�:..... .......... �........................................_.....-- <br />Hemarks <br />��;��;0� �';'��•_��.:, .. <br />:;ys e, ij� <br />` K ca: <br />s �.::'� i^'� ,. <br />_�/ <br />No. I <br />� <br />LABOR AND MATERW. <br />Superintendent <br />Lead Connection Complete <br />Snddle Complete <br />.. .. . ........................................Pipe <br />Scrvice ock <br />Service Box <br />No. Hours L:ibor.........1d .................................Cost........... <br />Cutin ....................Pavem�nt....................X........................ <br />- � � ....................X....................... <br />J " <br />........................Sq. Ft. <br />