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_ : lg���a � - - / � � <br />w. o. ronr« a /��" C' � <br />��ITY OF EVERETT--Water Dek��. <br />�C.,C 2-C. I/ �� <br />�pphcation-ATo.I.......�.�.... Date..:;A:�...i.....19E2 .......................19...... <br />�� In�iall ......... . . . . ..... .inch water service pipe <br />For........................ ... ....... . C�C.s.�1r�'.....�../ ............. <br />On � :5".:.3..1....�'?�..��':..... (• -...._ ................ Street <br />Loc.. --'- .. , . � ,. � : <br />. .... <br />- .................:>... ............:-............... Block No...................----............. <br />A�ic:�tion ... ..................................................................................... <br />Rem�rks ...............................................................................� �---.................... <br />No. <br />No. Aaurs LsF <br />Cul in....._........ <br />LABOR 41`D *.I.4TCRIAL USED <br />Lcad Comvaction Complete <br />Saddlc Complete <br />Scrvic^_ Cock <br />Ser.ice Box <br />Superintendent <br />Pipe <br />Sq. Ft. <br />....................Total <br />........................Sq. Ft. <br />------ <br />o,.....,.L� . ._.__"""'"""...._ .................................................... <br />... .................... .............................. <br />Order Received...... <br />�Vork Campleted... <br />.......................... ............... <br />Foreman <br />