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tl <br />I <br />� R'. D Fo�m J IOW IlaPly ' ' <br />CITY DF EVERETT••-Water Dep� <br />� <br />� Q . � <br />Applicadon No. G.a._�. �_._.. Jate.._ .... ��%. .192...�a.... <br />�/ ,. <br />�Ine�tall .A ��' inch ater service pipe <br />For ...�, CL) ....._.C�].�.�U� . _ <br />_._ ... . <br />On ......r� o I�r.... . 1� __ _. Street <br />Lot...........................1r.,�..2.........._. ...... Block No._ _...._�i-. l_ �........_ ............. ............ <br />• AddiNon ...................................._...................... ...............__..._.............._............. ........... <br />Remerlcs.._ ........................................................................ ..... .........._............................ <br />—T � <br />o. <br />.......... . ( . ............ . ...................... <br />.......... .1 ............ :=::.x.....v.. . <br />.. . <br />.........1.FL2...ft. _.....%'.✓...... <br />...............�........_I .._.r.. .. �.:. <br />................�........ .._`.':: :�.•... <br />LAtlVK A1VU MA'1'15K1AL U`3GU <br />_I'__— _—_—_--" "—__ — � <br />_ �tae � ---� -- -- ----- <br />Leed Connection Complete � <br />Saddle Complete <br />................................:.................... <br />SBiV1Ce r.00t <br />$0I'V�CB HO1S <br />.. ...... ...... ................................ .... <br />....._....._ __...... .. ... <br />No. Hovre Lbor...........d ...........................Cost...............`..'.....:::'................................ <br />� Cut in.....:....._ .............Pavement...................X........................ ....................Sq. Ft. <br />....................%........................ �, <br />_ .................... <br />....................R........................ �� <br />.................... <br />....................X ....................... „ <br />.................... <br />Total ................_.8��. F[. <br />Remarka...... __ __. . . . _ _.. <br />_. .._ _ _._ <br />..__ . .... _ _ ... _.. . .._ ..................... _.......__...__.................__....._ <br />.. <br />� �.. .. _ _ ... <br />Otder Rece�ved .. / 1 2p .._. ..:t f <br />Work Completed _�/( �6�'Yj� t�U �F .� l.�-y �!?,' � <br />l� Fw�.� i <br />l <br />