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$.J.�ricbe�MTA62?•>��L/ � <br />VJ. D. Form J <br />CITY OF EVERETT--Water Dept. <br />, . . ; , / _ a v -....- -...�s`:.:� <br />Application No../-- '.'...:;...�.. Date..._�'........-- ................. <br />, � <br />j Insta(1..: �..c.:.—::.........inch water sen�ice pipe <br />For ........_�/:.:..i/::7.-.,,__—:...._......_ .�.-.,� <br />,..�.y,.-,.__...........--- - <br />r �� /� — f.......,..--...._.,. ,r^` ... <br />On _....:,-:._fJ.. .......... f �'5.:.?.'.-.�.:.'.� t: �..1..G._e'..:..::_--..... Street <br />Lot.................._..........----................_--..... Elock No._--............---�-�-------- <br />Addition ._.......� ................._........... _ . .... <br />'- ....... :..... .................. . . -- <br />Remarks _,._....L_*:G.Y_5-.�-'�_`-.:^_.�,........_��� : � .r �-->•_�:.�t...... <br />.. _ . ................ ...'- <br />. � <br />..---.. :...::............_._.r:---....d; • ....._...... <br />...........'........,.,_.........._� � _a.-'---' .............— <br />. .J� � ;.�-� � _ <br />No. <br />J <br />_;-� ... �� � ;� . <br />„ <br />_,.._.,..� ....:........ .._:.......,..........--- ....._........... <br />,:�, , <br />�` `I , , : �.. �. ; . . <br />�:-+� �°' '. . <br />'� �H �- LABOR AND 11SATERiAL U'. <br />JSuperintendent <br />� �. <br />......._...�::�__,:_..._.j ' Lcad Connection Complete <br />.... ..................... ..._. <br />� S:.ddlc Complcte <br />1t........ ...._ ...............PiPc <br />......_ .................. ............................................ <br />._ ............................ Scrvice Cock <br />......................._..._. Scrvice Box <br />�......I...._.....� ................I .....�.._.�..��.._..�.�..._...� ..........__..�_........�_............... <br />..._....._ . ._. <br />!Qo. Hours Laboc._ .........................__............Cost................_............_.................... <br />Cutin.........._......_Pavement......__._._....X........_ .............. ........................59.F1. <br />.X ........................ ,� <br />..........._...... ........................ <br />--_..... _.......X...._ .................. �� <br />........................ <br />; ._...__....--X ......................_ �� <br />........................ <br />Total ........................Sq. Ft. <br />_ __ — —_ _ . ___— __— -- <br />Rem:. rks ..................................................................................... ....................... <br />...._ ................................................................... - — -- - <br />OrderReceived ........................................-........................................._........... � <br />\i or}; Comnleted..._._ ..............................................._........................._......._ � <br />, Foreman <br />