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S J.^riebc 1M].9!i3+" � i5./ `/ , v <br /> W. U.Ferm] .,. <br /> � CITY OF EVEF�ETT--Water Dept. <br /> Application No..`?...SP.fY...� ,D�te..�......... ................��..../.....19.�9 <br /> Install.._..... �� �Y........... ..i uh water ervice pipe <br /> For �� �/� _...�...... ... ...............Street <br /> _fiv.,...�....___ <br /> .: . . --�-- <br /> nn ..................... ................ ...... . <br /> Lot..........._........L�................................. Plock No........_"���.............. <br /> Addition .. ....... .. ......... ..............- <br /> .... ............ <br /> �.-rl,.�u�.�-�-�... _ <br /> Remarks ......... ............... .............. ............. ............. ....... ......... <br /> ���........ . .... ` ....... ... ..... - <br /> `.� �1L'l�.�"�i��:::.-._._::�:::::.:.:. r <br /> _ ..... . _... . ..... . .......... .... <br /> .........................................�.�.� � <br /> Superinten nt <br /> L:�BOR 9NO bTAtER1AL IISED <br /> No. ,, Size � .__._.. - — �----�-- --- --- <br /> ----- -- ----I-----_. _ " <br /> ......_...................�..................___... i oad Connection Complcic <br /> ............................ <br /> ...................._.._I� Saddlc Complete <br /> .......................f t............................ ............................................. .........................Pipc <br /> ............................ <br /> ................_........ Service Cocl: <br /> ......................... Scrvr.e Box <br /> ..........................I........_......._........ .�.�__........�_...._...._.............._................................_...._........_...._....... <br /> .................... I <br /> .. .._.............. ......................_........................... <br /> ............................................................. <br /> ?Ia. ISours Loboc................._..........................Cost.._........................................_...... <br /> Catin...__.............Pacement....................X._..................... ...._..................S4.Ft. <br /> ,. ,� <br /> ,r, . : , ' /- ; .................._X............._......... ...................._.. <br /> `�"�� � ':,a- ��y � � ............._.....A............._......... . ,� <br /> � . ....................... <br /> ._,f` ......_....._.....X........................ ........................ <br /> �� <br /> > '_ I <br /> . �` ,,.,• �..� Total ......................_Sq.Ft. <br /> — -----%- � �� -• <br /> ,� ,; <br /> , , , <br /> Remarks.ci....^...._...:.__.......:..�:�_.....:...::.:.......__......................................... <br /> _. ._._....... ...................................................................._....................................... <br /> ....... ....................................................................................... <br /> OrderReceived...................................... ...............,.,...................._............... <br /> Cc�rlc Cample!ed. --.....................: - '' '�.:.,. � :�.................. <br /> .....:...._�..._..:�•--_. . <br /> / •� Foreman <br />