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W�U.Form�17A(�5 � � � . • <br />CIT'�' (OF EVERETT--Water Dept. <br />_ �-. <br />_._. �� <br />Application No...__......_ ._.:::.: Bate ........... ....:..........:.::...:.:........19:.:.:: <br />Instail ............_�....:�......incl� water service pipe <br />For...................... --..... <br />, <br />On...................-..- --- <br />Lot...........- - ..............-... <br />Addition ............._....... <br />P,emarks ................ <br />_. _...... _ .... _ ............... <br />............................ <br />..... .__ ..... ........................ � -�- <br />� ..:.......: ................ Street <br />....................... Block <br />............__........_ _ _ <br />Supe�intendent <br />LAtSOR AND MATERIAL USED <br />No. I Sizc i __ _— <br />---- �---- —'---- <br />......................................_.._...._....�� Lc. d Connertion Complete <br />........._...._.___..'� Saddlc Com!�lele <br />............................ I <br />.......................ft............._...._._ ._I ........._................................__........................PiPc <br />........................... .. <br />_ ....................._ Service Cock <br />_ ........................ Scrvicc Box <br />. <br />.. .... ........ ..._... <br />. ... . ............... _.. .... .... <br />No. Ilours Labor .............__........._., <br />Cut in....__..._._....Pavemcnt......._-. <br />.................... X .... ................... <br />.................. _ Y........................ <br />....................X........................ <br />Tolal <br />5 <br />........................Sq. Fl. <br />........................ „ <br />........................ �, <br />........................ �� <br />........................Su. Ft. <br />� r, , ,. _',.. - . , <br />- .._„:�.r..:.�._...:_t .: .............._............._................................ <br />_ .. ............... ..._. . <br />{.�..... �.:.._f�....... � ... <br />......._ ...................................................... .. ' . <br />"(" . .1 r1 .. ....... <br />• —� '� ' ' " � �: <br />Order Hecen•ed ......................._..._-,...._::,:.....:. _. r •..( =};......... <br />It,/,_,... . ; � <br />\1'ork Completed ..................................................................................... <br />Foreman , <br />� <br />i <br />