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356 �t � <br />5 J.NriuFe�ta146 ,55 • . <br />N. L Form 1 <br />CITY GF EVERETT--Water Dept. <br />.� _, � -� <br />. ; ,_ <br />Applicatiou Pdo.. c'.:._�-i. J..... D�te..... �C..: -� !_% J �1_ y'. <br />........ ...................'..19...... / <br />install............ �Z..��..........inch water service pipe <br />For_.......�...�........._`.._... . f%............_ ........................ ....--Street <br />+�............�. Lw._, _•�, <br />Cr . ................:.... ......'.. .... ....................... ---............ ...... <br />Lot............................................................. Block <br />:?dditioa .............................................................. <br />73emarks ...........- ..._ ................ - - <br />. .. <br />f; <br />_ ............. f.....,,p:.,_,..,.,�... �.._..:....*_!�..._.._....... ......._._....._......................_...._ <br />.............:_........_.................._....... ......................................._...------------........... <br />�, <br />' . .J �� <br />;...�.......r�,A.., .:....................................... . �..........:...... <br />� �,.... y.....,.... <br />. <br />- <br />� ....1.� .��.'__ ..... .................... -..................:. ....�..../.._�.:z�:.:�--.. <br />�Superintendent <br />i. <br />LAR(iR A1P 11iATERIAL USEIf.� <br />ATo. � : ize ' <br />.__...---------�-�--- — � <br />......_ ................_._._. _......_� i-cad Conncclion Complete <br />.............................._...__..., C��d�iic o�mJp /1q�tc- <br />.6.........fl...........11�............� ........- C R 4 ...................._.............Pip^ <br />.......................___............... Service c k <br />..._ ....................................... Secvicc Box <br />i <br />No. Hcurs �.rbor.........._ ..................................Cost.................................................... <br />Cutin ..............._.. �'avem^_nt....................X.._.................... __....................Sq. Ft. <br />....................X........................ .� <br />..... .................. <br />. <br />.....................1........................ ...... ................. <br />Total .................._....Sq. Ft. <br />__---__._...._____._—'._ .__..________.—__._-- <br />H.6:7191' l: S. _ ........ _ ..................................... _. _.......... _.. _ _.... _. _'...................... _.. <br />C_der �cc��ivecL . .............................�._Q...�...^.......................... ......................_ <br />, . � _. fj..!_�. v`�''t.'... ' ( <br />'.`,-orL• C�,r,.i.l ;ted. �.........!?.�~ '�'.�'f". �!.v .................. .. <br />Foreman <br />