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e. e. Pei�'ac z��i� � � . _ ' . . .� <br /> w. o. roarn ( - <br /> CITY OF EVERETT--Water Dept. <br /> � ' - <br /> Applica�:ion No....L::.',_..�_.:..r... D�te;......_......._.`"�..../................19.:..._ _: . <br /> I�stau....._....f. ��� mch water service pipe <br /> 1'�r ..�Z �-� _'�/r�>:_�C:..<.`=.-...._._.._ - ___........... <br /> ........... <br /> Gl .._..........__._..------........_.........................___...._..._..........._....._.. Street <br /> � � � <br /> �.o............._.......- r-�-=---............. _. Block No... ....._...._............ -... <br /> Addition ..._...:._.���.:.c:.:..... :....'-..�:.�........:'_�........::..:.:...:._--........i::_......... <br /> remarks � ':.'. „ . � . <br /> .........:..:.................:...:_....---...._:..:................_.............._-'-----_......... <br /> --.......___.............�...._......_..............--._ _....__..........------.............----'--..... <br /> , ._ ,- <br /> ' ;. . : <br /> � ..�............__...::...__.._'-. ._....._...----..... ........................__....----...................... <br /> .. ., , �1.; y�`': <br /> A.: . : <br /> ....... . ..... <br /> _t.:. <br /> , �__ � .. .. .... ... ..,, <br /> ;,; , `, .: / -_., <br /> , _ .. .. .... ....... .... ....... ......... - .. <br /> � Fiuperintend�nt C <br /> (_ i, . <br /> I.AISOR A1D 111ATEHIAL UStiD <br /> No. S;xe <br /> __...___._. I_.___— . __. __— ____--- __—__ <br /> _ _— <br /> _......................._I........._..._...._.._. Le,�3 Connection Complete <br /> _......................_.�....................._.._� Snddlr ComPletc <br /> .._...._',.':::.....Ft.l..........::..:':.......... ..........._..__.....:......._....._...___.................._.Pipc <br /> .._........._.._........i.................._..... Scrvicc Cocl. <br /> . .__._........ <br /> ........�_ _.._._.............. Se�'ticr Aox <br /> N�,. i'.ow�� LaLor.___..._............_....._.............Cost..._...._...__....................._........... <br /> Cutin..........__.__Pavc�nenL..._.__.........X..._................... .............._....._.Sq.Ft. <br /> ....................X........................ .� <br /> ........................ <br /> ....................X........................ .� <br /> .........._............ <br /> ....................X..._.................... �, <br /> ........................ <br /> Total .......................Sq.Ft. <br /> __.—_—_._ .____.__.__..__________—__—.--_ <br /> _____... <br /> P.;:ma rlcs....,.__............................................................................................. ... <br /> t - ;_ . <br /> c . - , . � c , . /�r ; . <br /> _ ._..... ..._.....".._.....:.:..:...:.............:..�:)._:..........:_....__:..........__:.:...1............... <br /> ...................................................................................... .�-� ........... <br /> Order '.eceicc;l....._..._..._ .............._......................................-............... � <br /> \varl�. Cnmpieted..._......................._......__.........._.........................._......_ . <br /> Forem�n <br />