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S :. F�bbe�Ac'I:f6�f'� 3 � � • � ��` . . y'. <br />W.U.Fo�aD ' . ... OU��G� <br />CITY OF EVERETT--Water Dept. <br />Applica.ion No...._�.�.3.�P.. �.. Date ... .................... �..� .(. 19..�rT.. � <br />o� <br />P � ..... <br />, � InsG�1L...........: !: ..!�.......inch water service pipe <br />-� - � � <br />. <br />For �.. � ,-,, � -s!........c..:u :s.��. <br />.............. ........_:..._�...:.:._e .. _� . , <br />.�g �. � .... ...................Street <br />� <br />On � � ' � <br />, <br />��� -, <br />...................... ......... .. . ........ .. . ............ ......... .. ................ <br />Lot............................................................. Block No...........---....................... <br />Addition.................................................. -............................ ..................... <br />` � • � -- <br />Remarks � ` -'- " � � <br />...............�:..1.:.::.. �.1-- �: . <br />. ......... �.....:� ...................... ............. ........................---...................... <br />, _ ..,,. <br />, �� <br />.....:.... -� . :................ . //� �.............---................,--... � --�•.,--. J • <br /># ......::....:.... . i �i � � <br />.. ....... .... <br />..._ ....... ......` .._ . ..L............ C.....�. --. ....----................ r...._�.:.�.:. �i...F.. • , <br />t .. <br />� FF 1� ; �: � ''"� C�} f (� v Superinte�ent ) . <br />To. <br />!%',ti��,_;,��'�OR AP'D MA'lERIAL UBED <br />Lead C:onnection Complet.= <br />Satitilc Complete <br />...................... ...............................................Fipe <br />�ervi:e Cock <br />Se� v:ce Box <br />:do. ?iours Labor ..............................................Cost.................................................... <br />Cut�n ....................Pavem.nt....................X........................ ........................Sq.Pt. <br />v .� <br />.................... X........................ <br />....................X.......... ............. <br />Total <br />......................Sq. Ft. <br />.............._...:...................................................., ,...-� �--::G..�'....... <br />� �.f�✓ f .� � ti <br />Order P.ec�ived ................../..j�..' ..............:.......�.....` ... :.............._�.... ._... <br />:Vork Comnleted..+�_`.l...(....:_�.,�...� <br />_ ........................................ ............ <br />Foreman <br />