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5:1 trieM�N7.16�f�O 7 n � <br /> W.D.Porm) ( � • ' ' .. � y '�% �J <br /> CITY OF EVERETT--Water Dept. <br /> Application No..l.�._�..�..^... Date....................�.�...1.�-":.L.......19.:l._.� <br /> lnstall...__ _._�::.��......inah water service pipe <br /> For ..........��,5._::�• .'.� e2.!:::.�::._: � �'i.:..: <br /> , <br /> . _ <br /> . ...--. .. ... ........ . .. <br /> �� � , , � ... ....... <br /> . .... <br /> on .............�._�'...':-_r:--........ ' <br /> ....d...:�...:!.,�..�.;:.L:.._t:.�("�;:::�_Street <br /> Lot.......................�,�._�........................... Block No,.,...._17�;-t, --. <br /> ................. <br /> Addition ....._(1 :>�i�..i:.:!.::�..�„v.::n.-1..�....-.......... ........................................ <br /> Remarks ...............................................................................•----•-----............... <br /> ............................................................................................................................. <br /> .......................�...F�........................ .. . 1.. ............_................_.......... <br /> . E 'y �.............� . <br /> ........ti.r-... ' . . ....... <br /> �"..... � . <br /> ... � ( <br /> :1:1"' f' .. .._........ . �5 3 ..�;I � .1 <br /> . <br /> . ... ......."""............�.;......_.....'" <br /> ......,��•... `.M.._$.. ...._I........;.{�.�:y................................... � ._�.. ;i...:�' .._.. <br /> . .� ..�,..^ <br /> Supermtende�t <br /> i ,� <br /> '� � �' � �.ABOA ANP� MATERiAL UBED <br /> .., + <br /> No. I ��e j --- <br /> ........................._........................... Lead Jonnection Completc <br /> ...................�--.............................. Sad�:le Comple4e <br /> � i� , , . <br /> _............._2..It_......:i«............. .....�:�;..::..:.J...;;.:.:................ ........................Pipe <br /> ...................�...............�y........... Survice Cock <br /> ...................:................................. Service Box <br /> No. Huurs Labor....�.;'....................................Cost.................................................... <br /> Cutin...................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X..............._. �� <br /> ...... ......._............... <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total .......................Sq.Ft. <br /> bRer.,arks.....................:.:.:....:....:............!........................................................... <br /> ! <br /> ` Order Received............................................................:.............................._ <br /> ,r ,�: ' \Vork Completed......................._ .............................:....................... ......... <br /> L Foreman� <br /> i, <br /> f <br />