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w��Fa.�,�� .e .,,g 98 - . <br /> � `� �- CITY OF EVERETT--VG'ater Dept. <br /> � : � , , - �;-, <br /> Application No:.......... .. .:.. ..... Date..........'.:...........`...::....._1.:.:......19..:... <br /> Install.......:...t.:�................inch tvatcr service pipe <br /> ................. ...:........................................................... <br /> 1 :l �...,i i : � ........ <br /> or ......_.............. <br /> On ...........::..::.._::...'.............:..:.:.......:............ .. ....................... Street <br /> Lot..._.........::.-..�1.................................... Block No.......!•..:�.::...---....----- <br /> Addition ..........................................................................................:............... <br /> ....,:<'... • � „ , <br /> Remarks "_t..:.:.:..:...:..:.:...:.....:...........:...................:...........:...:......:.:.....: <br /> i � , <br /> ..........'.....................�..!.:...................................................................................... <br /> .....:_................_�............... ...........-�--�--.............----...................---�--.............. <br /> -�, <br /> . . . �,� � <br /> "°4`�....�... ...........�..0..... ........................----.......� <br /> ,,�F' ; � i �r 1 � -� � ..................._;...._--..:: ....... , . <br /> y.....ri: ........ . ..:............. .............. .....�..._:�................_..C.P.....:... _ <br /> (��c�j �(i � � '� '� ' Su erintendent <br /> � � �t�., � i <br /> . � <br /> � �y�1'��,*°/ I,AROA AND MATERIAL IISF.D <br /> � Size __ <br /> ---- � ._.....�I�- <br /> .............................................. Lcad Conneclion Complete <br /> ..'...:._............._ I SaddleCompletc <br /> ............... ��.....T......... <br /> ......:, .�.::..._tt.. .J:I.� .. , ,_,,, : . .. .....Pipe <br /> ........:............... . .._.......,...................................... <br /> ............................ <br /> ......................... Scrvicc Cock <br /> �.......fr........................... Scrvicc Box <br /> .. <br /> ��t/'........... .............................................................................................................. <br /> _. .. ..�.�.....L..(...1 <br /> ..........:.............................. ...................................................... <br /> ... . <br /> ..�� � � r <br /> � ...r -� ............................................................................................................... <br /> ..f...-c;. . �...y....... <br /> Vu. liours LaUor..............................................Cost.................................................... <br /> Cutin...................Baventml_.................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ <br /> .. <br /> Tolal ........................Sq.Ft. <br /> -- <br /> + ......................................... <br /> Rema r,:s.................................................................... <br /> __...._......... .._.._.............................................................._................................. <br /> ........................................................................................................................ <br /> OrderReceived............ ..........................................---........................... ... ... <br /> „ork G�mpleted....... ._.................. '- <br /> ................�........................... ..... .... .. <br /> ; Forem <br /> � <br />