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�� <br /> , , <br /> w. �. �M� � � � � ` <br /> CITY OF EVERETT--Water Dept. <br /> Application Na.�:.<::..:'.. 7c Date.....................:.�......�....___.....19.._(.'� � <br /> ,� Install...............................inch water service pipe <br /> , ; <br /> . , . <br /> Foi .._�..�..<^..,r.:._:..z.�:�..........._�....::..c...:..t...... ............................_...... <br /> � � , � <br /> „ <br /> On .......:_.��/.....�_............'-.'=-i...,..._..::.....................:�_............. Street <br /> Lot............................................:................. Bluck No............................. ....... <br /> nrl:lition ... ..........- - ....................:......--.... _....._........................ -............. <br /> Remarks �� � �� � � <br /> _..................... - __..._.._..............................._........................ .................... <br /> ...... ................. .......__.._.........__..._...............--........................... -.............. <br /> ................................................................................................................. <br /> Superintendent <br />� LA130R AND MATT:[LIAL USED <br /> __No. I Size � __. __ _ <br /> ........................._I........._........�Lead Connection ComPlete <br /> ._.......................�.._....................._ Saddlc Complete <br />'I ._........._.........ft....................._.... ..._.....................__...........__..........................Pipc <br /> ..._............................................_.. Service Cock <br /> ............. _..................................... Scr:ice Box <br /> ................................... .............. .......................... ..............................................................................'... <br /> . ................. . .. . ............... .................._..._..................... ........._... ......................._'..................... <br /> �.�_. <br /> No. Hours l,sbor._............... ....__...........__...Ccsf.................................._............. <br /> Cut in......__.. .. ....I'ave�ci��ut_..__............X....._.... . ...._... .......................Sq.Ft. <br /> ..... ............X..............__..._. �� <br /> ........................ <br /> . <br /> .._. ..__........h............... ..._.. ...................._.. ' <br /> .._.............._X........................ �� <br /> ........................ <br /> Total . _..__......._._Sq.Ft. <br /> ----- ------------- -- <br /> P.e�na rks............................................................................................................ <br /> _........... ......_........................................................................................ <br /> ___........ ......_...............__..........................._........._..............................._-......-- / <br /> OrderReccieed...................................._._....._.........................................._... <br /> \Vork Complctcd.. ..__.............. ....._..__........... . __..._..............___._._ _ / : <br /> Forem;m ( <br /> . ,, ,:'„�j• <br /> � <br />