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L.1•.P�ICRS�'��O Y U � / � <br /> "/. D. IORM <br /> CITY OF EVERETT--Wate� Dept. <br /> // C � � � - <br /> Application Dro _---..:... ..---•-- Da .......--. <br /> � <br /> . . .................. .................1 .9�`. / <br /> ,_ � histul .......�.�.�.��............inch water service pipe <br /> l�. ��.�. . . .. �- <br /> For .........._�.::.... �..i.... s.-yvGt-�.a<.l.S..��-...�:.............................. <br /> On .............._--_�1._Q.....��-1,Sr.�!-� �:....��.:y.l:L:t�S-A.,,�Street <br /> Lot..................._........�..r.-.�L....-x�--•-••-----.....,. Block No..........----._....-�---.......... <br /> Addition .........,���s...:.N...C'�a.-��:.tc.?-�-y'�.�......... <br /> ` . ..................,.�...... <br /> Remark5,1.......:�:LC.�S..[4��--.._:8�-�::4�t...c.,��_-. ..1..'�.GC:�� <br /> L,/ J� <br /> ......a��`rlti'....:1:tt�':-:�.[��.4 ..c_............................................................... <br /> ................................. ......... ........'--.........:.................----......................... <br /> �i .. �.:' � <br /> ....._""'............... .•s• lC....�_ . .- � <br /> - .�... .._ .........�.............."""""......,.:).. . . <br /> ; �. ' `-= C � r.��' l�� /L�---'J <br /> ...........................�.......:.n:{�...,Z-. _.. ...J._`....1...�_r_ .... .. SJ......_..1...�.5�-'—''`-Z_ <br /> ../ = „ . _ r-.. '--$uperinterdent <br /> K�.•... , _, �, .. � <br /> � �'A � TERIAL IISED <br /> No. Size � '"'- <br /> ...................................................... Leaci Connection Complete <br /> ..................._................................. Sadd!e Complete <br /> ......................SG_.._..................... .......................................................................Pipe <br /> ..............................._.................... Servico Cock <br /> ...................................................... Service Box <br /> No. Hours Lsbor..............................................Cost......................._........................... <br /> Cutin....................Pavement....................X......._............... ........................Sq.Ft. <br /> ...................X........................ �� <br /> ......._............... <br /> ...................J:........................ ........................ �� <br /> ...................K................. �� <br /> ....... ........................ <br /> Total ........................Sq.Ft. <br /> '�. . �,�.� --- <br /> Remarks._...��.....� . .. L.c..:._.�_.:.....:..........................................._....I... <br /> ...� <br /> ... <br /> . . . � � <br /> ......................................................................................................._.... ....�....... <br /> �,, , <br /> . ....................................__................................................ ...:...' „ � � <br /> " - ,. �r^................... <br /> Order Feceived..................... . . � � <br /> p , ......._::...�:......................................................_. <br /> \Vork Com I�ted...._�".:.1.J ._...;....::�.::...................................................` <br /> Foreman <br /> �'s',� <br />