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� � �'� � � � ��.<<� � � <br />w. r_ .onH r. <br />CITY OF EVERETT--�X1ar�r Dept. <br />��,, ; �/ � , ,-:; <br />�ieakiaa I�o.�.�.�.C....�.... Date ................................................1�J...... <br />� Install....._....___. .. ir.ch water service pipe <br />F��• ..C:.Z..�Ydr�r:.2.:�� :........::... .�C_.��::��-z::�:�.-2_:��:......... <br />��� �.... . <br />On .... i ��C-:/._�..._.----Z.C_::L_�S,:-L.i..��f ......................... Street <br />Lot..Y..3 ��.....l�r/_s.. �-r ....�L�.�.. Block 'dc........__ ................ ...... <br />�dilition .......................................................................................................... <br />Remarks........_... ----......._..._ ............. .........................................-......... <br />� �. _ . ...................._...- ............._..-- ..... ........... <br />/ . .. <br />A .. �:�A�.c.� ................................."""".............."""'.._................................................... <br />T <br />... . ..... "'" <br />.........__._ ................"_'.....................""_......................."'............. _. .. "' <br />Superintendent <br />2-2''-7/ <br />LAROR A\D hSA2:�'RIAL USED <br />No. __�_ 5=ze <br />:,ead Connrction Comple!e <br />Saddle ComPlete <br />............... _..................................................._..Pipc <br />Service Ccck <br />Scrvicc Bnx <br />Nu. Hou:s 1.ai�oc......_..._......_..._ ................._CosL.._............................._............... <br />Cutin ........... .......Favemrnt....................X....._..........._... ......_......_........Sq. Ft. <br />....................X........................ ........................ <br />�. <br />....................X........................ �� <br />........................ <br />....................X........................ ........................ <br />�� <br />Total ..................._...Sq. Ft. <br />------------ <br />Re m a r k s... _ ....... . _ _ ................................... _...... _............ _............................ ... <br />_. _ ......................._........................................................__....---------- <br />. ......................... .... _............................. .. . _.........................._................... .... <br />OrderReccieed._ .......... ......_......................................................... .......... <br />11+ork Completed_ ......................_..._._..._..._........_ ......................_.._....__ <br />h'oreman <br />