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5 J:lriebe4:.-].4629>55 / � � , v �.:"V, ��. <br /> lV.U.Form J Q.� - � - <br /> i:ITY OF EVERETT--Wa*er Dept. <br /> � ...19....: <br /> Application No.........:...:.::...�...-� .Date.......:._.....:..:.- .:.::.............. <br /> , � ! . . <br /> 1n,ta11..._��..:..__...___.....inch t�ater service pipe <br /> Fo; ..........._........----__...................�............---.........._..........-----................._....... <br /> On _..- --'�����=.,.'...�...........:::..i.:�..._:./:................_....._ ........_... Street <br /> Lot_.. ._.........._...............--......._........._.. Block No.----�--....................._..... <br /> Addition - ..........::�........................................................ -......_.......-...... <br /> � - (. <br /> Pemar�s .............�::..:'..:::.'..:_..:;._�.:..i.'...:;...<.._........................_--....._..._.... <br /> ...._........_....._..._..............'--............,.:..:..........-----.......----............--'--...._........ <br /> : • ' <br /> �) �, , . .. ......................................... <br /> . . ..N.... �.._.....:�...........'"'"..........""'"'"'.. <br /> V ":...... �.......... ...�,�{��' .................. . --� ....:.... . .................................. <br /> . .. ..� .......... .:.� <br /> � ..............�-?:::'.�......L�...._�.....,._...._............................'.___........_:.:..'::.-...... <br /> -�—,-==— � 'Ai �i����— � Superintendent <br /> �+ =�'_—_ <br /> LAllOR :1ND '.�:.1TF.RIAL USED � <br /> No. Sizc <br /> __._— ___ —_--.—_�_—_ _—_— — _—__ <br /> � ' � � � Lcad Connection Comple.e <br /> .......:�..J.�.........._�..._.:..,.;,,.......... <br /> _.......(.....�.._._.�f........�..__._........� .�cid(e CamPlete <br /> ....................._ft........J. ...._.......... ..................................._............................_.....Pipc <br /> ._�.-.r..1..y?... ..y..f�......._. S:rvicc Cock <br /> ....__..._......................................... ScrciCc Box <br /> Pio. HnUrs L-�bnr........__.................................Cost..........._........................_............. <br /> Cutin.....__..... ..._P.n�enunt...._. ._.......X........._............. ........................Sq.Ft. <br /> .__.... ._.......X_._................... ........................ �� <br /> ....__..........._X._..................._ �� <br /> ........................ <br /> ...................X........................ „ <br /> ........................ <br /> 7'ota] .... ..............Sq.Ft. <br /> .___.___. — " <br /> Rcmarksy.�.�._.�.�..::%: ' ' - - . :........................................... <br /> � �..y�..�..... . . . <br /> �� <br /> .... ........................................................................................................................ <br /> ................ ..................................................................................... ..................... <br /> Order Pcceived_.... .. ...... , � ,. �' <br /> _... <br /> � .- �, <br /> '.�o:'k Cnn�pleted__..��.....--f...._ :::....................:. � ..": :... <br /> � Foreman <br />� <br />