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��96 f `� <br />W. O. fOFM .l / •. ) / � . . . <br />C�TY OF EVERETT--Water Dept. <br />(c-c <� , i �; �^ne i icez <br />&{.�#icaimn Na.�...'_:! :..:......:.. Date................................................19..... <br />1�sta11 ..........................._..inch water service pipe <br />i . <. <br />For......._.�'..:..._.L _.......:r..._::...`_ ....:..:.....>....:..._......_..........................- <br />� - -' �, <br />On ............:.'...:.,....:........_.--'� •--::::.:.::::..::. �.:' %..,.............._..... Street <br />Lot....................- - ........_..................... Block No.......------................... <br />Addition.............-�---...........................................................----........................ <br />Remarks...............__._---......_......._................................_.........................-�-- <br />Superintendent <br />LABOFi AI`D hiATCRIAL USED <br />No. i Size I _ <br />Lead Conncetion Complete <br />�addle Complete <br />........................................................................:' i P c <br />Service Cock <br />Ser�ice Box <br />No. Aum�s Iator ............................................_Cost............ <br />Cutin ....................Pavemcnt.._................R................__'- <br />.................... X........................ <br />....................X........................ <br />� �` <br />........................ . �. <br />........................ .� <br />........................ �� <br />........ <br />...Total ........................Sq. Ft. <br />------------ — <br />Remarks.._._....... _ ....................................._ ..... ............................................. <br />_ ............................ ....... <br />Or3er Receiee��....._.. <br />1Vo!•k Complcted...... <br />_.... ...._..... <br />I� oreman <br />