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W. D. Form 3 ISGa J-I-i; C. F � ' , <br />. • <br />CITY OF EVERETT�-V�'ater Dept. . <br />Applicn[iun No._7'��_I_ � /Date____ ��9__..____19F-_y <br />Install '/<f inrh �ti�ater ser��icc pipe <br />For----�-`4�f �a �-- —�}--�h�.w--- <br />�I ----- <br />On-- ----���-� ----��=�`�q-- .— ----Strect <br />Lot._------------------. ck No.--- - _ <br />Addition----------- -- ---�-------------- -- ------- <br />I�emarks----- ----- ------- ------------ ---�----- <br />------------------- _ - ------- ------ -- — - <br />---G-� ,`�.C,e-�-1�_�_ <br />LAkOR AND b1A7'EItIAL USGD <br />�— .— -- <br />�a-_ '?�"✓tl Le:id Cunnccliun Con�,plctr <br />J,. ' <br />f�(a,.'' '_. ti�iIJlcCu/mplcte <br />_��f' .. ._�L�i.4�..__ . ......_..._.i�l�ll` <br />1. . <br />.n.�_. ___ . SCI'Vll'C �.f.C�( <br />�/'�Q/'f,[ $Cf\'ICC ���% <br />�.. <br />No.Hnursl.a6ur____ ` �� <br />. '_--"'.---._._Cost----�1._---.'."--"-._--•---� <br />l'uls in__.'_____' _._. PaccmenL.._'__...\___ _ _ _. . .__._. __'__E9. Ft. <br />\ ___ �� <br />.... ... .. .'_"'_ ___' _'_'_'_ <br />. "_\"_""' " .. <br />"" . _' '_"___'_"' <br />"_ " \__-__' .� <br />'I'ntal. '_"'___'SU. Pt. <br />--- _--__—_.. 3/?�J =_.—__ ___ <br />�;Ci1181'�Cy_'_'�_.'".i"�'_'�'__11_3��i): �.._-...+�.�.wsr:_""_ <br />' -f _"_____"' <br />rF7Y��`/._I'.L�_.L'�::¢�i-�.�` :r,: jc�::l.c-.,�,v_/���-----�------------ <br />3`.77/E'lt'C".... ..- �-------��-- ---,. Yv� r-------'" --� <br />Order Received --------- ---------- -----.__.._-- <br />Nork Complet�d f.=.l{._�`-�s�{lJy�.�z,� — --- ---------- <br />// �; f.r�� /7!� �� Foreman <br />