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.i <br /> S J.PrieM�M7A6198 9 9 � � <br /> W.D.Form) . <br /> CITY .UF EVERETT--Water Dept. <br /> Application No......�...1•�J..... Date.--•--------..... �I��. �°.....19:/.� <br /> --- .. ._...... . . <br /> Install............:":�4r�.......inch water service pipe <br /> • � � _...... <br /> For �.1_L:J:!-,...�.�:lSr...�--..:'..:.:...:.':.:� ' '-:u.........._..... <br /> .. ....................... ......... <br /> On .............................li..a..�:1........,;.�i.,�.�..a�.....,.:..:t�.._------- Street <br /> Lot......... .................................................... Block No.....---_....---......._._......... <br /> Addition .................... ,�-.............................�-- <br /> I'.................�---................._�.... <br /> ........... � �,• ;,f*t... . u!�<.e:. <br /> Remarks . . 1�.�..,.1�.. �..._'...... . <br /> . , r/�_ � <br /> ..............""/ ..... r^ ..f- -.. �� ...... . . . {,...t�-�. .'••�`!,�:I. � <br /> ..... <br /> .... <br /> . , <br /> � �z;'� �........... —.,....�.G>..` � -- <br /> ..........._.�1. .d.c.�^..._O...i.:....�..:.L:.aL.�Ll_.::.,.(,�J.............._.....__.._.._...� � � <br /> � ��...........................L'_..........................---...---...... _.. <br /> _. .-�-- <br /> .:............. -- <br /> �-- <br /> �,: �� . , <br /> � • �,_� <br /> ,...�:::. ..�:,....... <br /> ........................................................................�--�--....... .. .. <br /> � Super',nte�en:1 <br /> � <br /> � Ci <br /> LABOR ANP MAT6RIAL IIASD <br /> No. Size I _ <br /> _ ... _.. ::. .........:.......:.....� iead Connection Complete <br /> ....... <br /> Saddle Complete <br /> � .......................1t............................ ........................................................................Pipe <br /> ...................................................... Scrvice Cock <br /> ...................................................... Service Box <br /> No. ]iours Labor..............................................Cost.................................................... <br /> Cutin....................P�vement...................X........................ ........................Sq.Ft. <br /> . ._ _.X........................ .� <br /> _....._. ........................ <br /> .................. X........................ �, <br /> ........................ <br /> ....................X....................... „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ------- <br /> Remarks............................................................................................................. <br /> ...................................... ......_............- ........................................... <br /> ................................................................................................ ................... <br /> Order Pcceived................._..._......................................:.......�.. ., . .. <br /> . ..... <br /> , / / <br /> \Cork Completed.__.�....t...�}'........!L._.NX.........._.. ....... �.. �. � <br /> �' Fo eman Li� <br />