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S J.Pricbe4Mi.;6� ' 9 7 ..� C� v ` . . . - <br /> 'A.U Form] " <br /> CITY OF EVERETT--Water Dept. <br /> Application No....�C.:_/.� i� Date.:::.\ti ' ' f �� /,' j. <br /> ... . .... _::..:....................................19.....: <br /> Tnstall.�....�J/�..'.:.............inch water service pipe <br /> I'or ................................ ��......................... <br /> � . ........................... <br /> .... <br /> , ............ <br /> On .............:.:........�............../....�?::�: � � . :'............................. Stmet <br /> ......... <br /> Lot.............................................................. B� No........---.......................... <br /> :1ddi!ion .................x............ --..................��............... <br /> (� .................................. <br /> iiemarks .........._f���J:?..�,:�:�:v:..:�t.`........_ , <br /> ....... . <br /> . -..........._................. <br /> .........r....................................._ . <br /> . ............................ . <br /> , . , . _ <br /> ... .... � <br /> .. ............... .... / �_��-� <br /> ..... , r`v, <br /> -� . .......... ....................,.....r---�—r <br /> "�� :............:................:^.......--... , .. ....... <br /> .. ............. <br /> , <br /> . . .........--�-� <br /> J t"� <br /> ...._............. <br /> � <br /> ._................ . ................................_........... " t , r , <br /> ....................................._...�._�.��.... <br /> Superintendent <br /> � i <br /> — ------_— ---- — — / : .� ..c_..a_y.�--.l <br /> LABOR AND 11idTERIdL USED ✓ <br /> No. ; Size <br /> —-- — --- <br /> -- -- <br /> ................._...._..�.........................� l.,�ad Connection Complete <br /> .....................................................� Eaddlc Complete <br /> .......................ft....................._..._� ............................_..........__..........................Pipe <br /> ....................... .......................I Scrvice Cock <br /> _................... ................................ Scrv;ce Box <br /> .............................. <br /> Vo. iIours Laboc..............................................Cost................................. <br /> .................. <br /> � ut in...._............_Pavemant._....__.........X........................ . Sq.Fl. <br /> � ♦ l � � � � ....................... <br /> ; � <br /> , t �, . <br /> � i' . � ..._...... A. <br /> - ......... '....................... ........................ �� <br /> ...................Y............. <br /> ........... ....................... <br /> „ <br /> � _ � � "' 3 <br /> �; ...................X. .. .................. <br /> ................. „ <br /> Total ................. .....Sq.Ft. <br /> � --------= <br /> " ' -- ------ <br /> g„r:arks...._::.. ., <br /> ., '.........................:..........................................._.. <br /> .........................,................._.............................................................. <br /> .................... .......................................................................................... <br /> � . <br /> rder i.ecen�ed._........................ <br /> .................... <br /> � , . ......_`............. ........................ <br /> l'rar:� Complcted.....4:...::..__�i:.......:'..:._\._....__, <br /> .................... .......... . <br /> Foreman <br />