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':r' <br /> � , <br /> � <br /> .,F•_ - \�S D.Form J IttU II.I4N � 1 <br /> � <br /> C:TY OF EVERETT-••Water Dept. <br /> � ._ <br /> : , -. <br /> • APPiication No.��� � Datc �/�.J� 192..�... <br /> _ <br /> Install ��`� inch w�tcr servicc pipe <br /> j � . For . . . . 4(� `/?"Y�e. �-e' ��,C--. . .. .._.. <br /> ,. Q .... Y.. � 7 0 � Z,� ��C.,C.-� _......_.........Strcet <br /> n .. . .. �� _f. <br /> '� � Lot.._._...............�__ Block No._ _ . ...__ .. . ........ _ <br /> __.._......_ _ <br /> �' Additian ........ __ . ......... <br /> __ _.... <br /> ! Rcmarks..............__..............._._.._..._..... .__ ......... ._. .......__...__.....__............_. <br /> � � � ... . ..._.... .__..._...�. _........ . ...__ <br /> K , <br /> , ,. � . . ......_. ...__ .... .._... <br /> ',�`�` <br /> i ,;,,. � ' _ <br /> _ _ .,.... ..._... . .. ......... .._.. ... _._.._... . _..___... . _ <br /> : ___.......... ._ . ... ....___.. _ _ _... <br /> � � • '� �� , <br /> �>.ry� s� m�it J /'�e--rl <br /> �.. .,. _ �_ _ _ .- ,-, .- <br /> ,?4 �. :�� ��� . "'—. _'__ ' _ . -_ <br /> LABOR A\U \l.\'I'6RIAL l'5:iD <br /> ,.. . " � --- ._.. .. _ . . - - � <br /> . . :�' .t:�. � No. � Sizc � . <br /> � ::�. ,��'. . . _-_ _ _• ., _ _ . _ . _ _.___. . . _ <br /> 3 -. - <br /> a. �:�°. � .".. - � ..._1 . . ,. r._.si.ell(� I_rad ConuecLimi CumPlete <br /> .. f � � '� � ..../..... ........ �r3? 6 _. ' ��ddic Cumplcte <br /> ��`; ..4rJ rc. �r_ ..... -?'J..<i-.�r ._...... _ ....... rine <br /> , ._ ._. .. . `� ...... /... . ... . �7 . ,_.. sc�vicc cock <br /> , .�, r <br /> .........�.............. '.ti..v.n.A_.:... . Service Box <br /> { : . <br /> .........F............... i._���....._..__ l..Li'+-L✓71..'._.........._........... ._............................................................. <br /> ... .. ......_.. '.. .. ... .... <br /> ..........."" .I.._..._ _........_.. <br /> _..............__............................._....................._....................................... <br /> ._.............___. .. . ..........._ .. _.... .........__........................ ..........................___....._ . .. ._.. . <br /> -__-hu. H � —_-___ --a-� ___ .__ . ... <br /> _.- <br /> uureLi�Lnc...._...<��.....................Cost.�....�.................................... <br /> Cut ia. - _.._..Pnvement.._................X._....._....._. . c <br /> . ....._...... ...... ............. ......q. Ft. <br /> ....................5........................ ,� <br /> ................_.. <br /> - .................._5..........._........._ �� <br /> .......... ......... <br /> ....................X.......,.............. .........._......_ .. <br /> Total .............._....u^q. F't. <br /> . ..-:.-_:-__. .__.----� -.. . <br /> - � - -- --- ---- �—'_--- -:. <br /> Rcmarl:s :`�A��rial ,jl.lD N�Vy�.a,�M _.... ...,... <br /> .. . S`�.� *j Y ,/t v;rt..�L�.(-G...�t�'L .��i:���Ct/Y. ���s.'7�LJ E� /� <br /> . ... � . �.. � <br /> _ _. <br /> Order Reccived �---. <br /> \\�ork Complend �.1� �1'I � ,. ^�� �, <br /> % Fommm <br />