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tt � <br /> Y �S.P.Form�Ot�-' '.'+�� ti I16 <br /> �CI <br /> CIT ;�����EVERETT---Water Dept. <br /> t�pplication No....._....._........... Datc....................._......_................17.::..�..". <br /> ln:u�il............................inc6 �vatcr ecrvi:e pipc <br /> ' � --.......--._................................_.._.. <br /> ur ........---.........r- <br /> ..................._,............_.; <br /> ;...::...:!.........__.._�........:................................_-'..........Sv�c� <br /> On ................:....... <br /> Lat_.................:'..._................................. Block No......_..'.....:....- ....._ _...__. <br /> � <br /> Addition ..........................................................._................................---............ <br /> Remarks ................................................................... <br /> ........................................................................................................................... <br /> ........................................................................ .......::.................... .................... <br /> _............... _........._ ..._............._........ ...__............:......................_.._...... <br /> .........._ ........ ..... ......... <br /> .:/:i_�:...:...:..:..___......... <br /> _....... fiunc.inlena<nl <br /> , � , <br /> , � __ <br /> . ____.——.__'-- ___ <br /> � I.p[30R AND MATEAIAI. USEU <br /> ._ __ ___ .._.._. _.__ `- _ <br /> _ ___ —__—_—_ ._. _._ <br /> Nu. Si•c __—_--_—___---- .— <br /> ............................. .__............. Lcad Cuuncction Complctc <br /> . Saddlc Cun�plc:c <br /> ................................................ <br /> � ......�.7.0..��X�.�.._..._..._...._......Pipc <br /> ......_(L.._......... .y..... �+° <br /> � � " ccn�i�c G.k <br /> ............................ 7................ <br /> ................................................... <br /> Scnicc 8�.- <br /> ,� � 7,* <br /> 1 l !„�-.�C.e.::�«<x' _.... .........__..__............ <br /> - �2............. . �...' .. . .... <br /> ................. ....... <br /> ��-�-.�,�._ .r' ..X,o.... _....... . . :.... <br /> � ......... <br /> a.-�_.......... <br /> _....._�.................� _.... ......... <br /> -.1.................__.......�1:.:....... ...._........._.._�' .......�..�p........>.......�3.._............._...._........._. . <br /> ��., � . ....�>,-�..e�,,�...:........................................................... <br /> ..�.................. . ..............._ �.. <br /> No. Hours Labu:........................._.............CuyL._..........................................._.............. <br /> Cu[ in........_...._.._.._Paccmcnt...................X_'....................... ........................Sy. r't. <br /> ...7{.......................... <br /> �� e� ..._....__....x.......................... ...._....._.._...... .. <br /> �) 11� _ �, � �v ....._ ..........x.......................... .................._.... <br /> .. <br /> � - <br /> Tutal ........................54. Ft. <br /> -- s ' _ ' <br /> " , ;� . . . � . � <br /> � �-� 1 ��I ....... ......... <br /> IZCIIId[�:5.....�.�' -:....�: ..._""............................................. <br /> - P...... <br /> r -��J <br /> ......dr•�.�........ l�.....bM:...... ................................................... <br /> ..........`..r. . <br /> ..........................................................................................................................." <br /> Or�cr Received....................................... .......................................................... <br /> \Vark C,ntpletc� __...__ _................__................._._..... <br /> , _.-�- r,��,���,:��� <br /> �� <br />