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S.1`Priebe 4M 7-i6'�� � 2 � � <br /> W.D Form 3 O , � . _ <br /> CTT Y UF EVERETT--�'ater Dept. <br /> ' � r � y� i . <br /> Applicatio� No....✓.�.��- � , Date.......:'1:..,.��. - � �% l <br /> � � . --� .......t..-.19...... <br /> Install...._::..�...............incn water service pipe <br /> For ......_..... ��- � <br /> - <br /> ........_.. --_-,_....................._.. <br /> - , ...........- -.-..... <br /> � � . '• <br /> - <br /> On .............. .........� ,--n,_ � . <br /> -- ...---�...:........ .. ... _......:.:...:�........::. Street <br /> Lot............. ..................... ..................... Slock No............---------��--�-�- <br /> elddition �� • <br /> _..... .............. J............_......_....._._.............. <br /> ,; ........................... <br /> , <br /> Remar6s �: [ ,' . ; . , . _ ,, <br /> .. - ..._. .. .�...--- ..................------=-':............_. ----.......... <br /> �//�.r......i.-- ...�._.........._....................�'........................................._.............. <br /> r <br /> . <br /> v "'....rf:�..............................."'"""_'"".. / " r <br /> i - .y... ..,.... . �........................."' <br /> / J � ..._. <br /> / ' / _/� �. ��•i /�� • <br /> ---...V......................................... . � <br /> i' -._t:......- -<......::.....�:::'_:'....... -- - ....-- <br /> f� , � �,Superintendent <br /> / <br /> LhI2pN AND NIATE2LAL USEB� <br /> ---Np— � Size � <br /> —---- <br /> -- —----- <br /> ..._......................_.........................I T.,cad Connection Complete <br /> _..............................._./..............� �addlr�C�omplete <br /> � . <br /> ......._. ..........ft........... . �`.� c. <br /> �........... � �......................................................Pipe <br /> . <br /> ........................................._........... Sze�4i�Cnck <br /> ._....._.-'........................................ Savice IIox <br /> ............................. <br /> 'do. IIours Laboc................_............................Cost.. <br /> ....................................... <br /> ........... <br /> ul in............____Pavcment.._....._.........%..__.................. <br /> _......................Sq.Pt. <br /> i �•.. <br /> �ii� ( r, ,,. <br /> _... f..� ....................1. <br /> ,, .. ............ ........................ .� <br /> ,• ' ._.................�........................ . „ <br /> � 4„� ................... �� <br /> r� � .. �� p � ... .n. ....................R_..._...._........... <br /> ------- ----==--Tola1-----.... .......Sq.Ft. <br /> .... ........ <br /> j2nr,l.2rkS............................................ <br /> ....................._.._.......___............_"_'_..... <br /> ............................................"'....................__.................._......._......_'.......... <br /> ......................__._....................................................__"""_......................'_' <br /> Order Ecc�ived..............._........ <br /> ............................... .........................J.... <br /> � , .r; , ,J <br /> I�orl: Cnmi�ieicd.. .. J - /��' .. . ...;:..J:�:�^:`' � <br /> _ _..........__ __.... .. u... <br /> .........:.•. <br /> Forem � <br /> � <br />