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S J�Priibe�M7:6619� ��� � �, � <br />W. U. Form ) ' A <br />CI�["Y OF EVERETT--Water Dept. <br />Application No.�� 3.y.� Date....�..'-.........!�'.. . ........l�l <br />.. ...... <br />I all.........J��/�_..�.. ., inch water service pipe <br />For .............�... .........�"�?.:`_,�. d ....................... <br />r ...................""""'........ ��� ....., ......."' • • ' <br />On ..-- ...............� D'S— rt r--r�t�....:.... Street <br />/ .f..........:.?...... . l <br />Lot.......... .................................................. Block No.....-•--•--......................... <br />Addition '� <br />.............. ........ .............. ......... . . . <br />. ... .. . . <br />.... ........ • ........ . . ...... . . ..... . .. ... <br />v � <br />Remarks ,%..G.!ir.r.:-._.....�,::.�:4:.r_�. <. � <br />.............. .......:_:�................----........ <br />......................................... ..• <br />� �... . : , <br />' �- <br />. �... ✓ r `� <br />... ... <br />. .. 'y ._. �. .. :..... <br />. .` `Y J ./c./e� y� <br />L <br />I.ABOR AND DIATERIAL USED <br />Superintendent <br />.._........._._ ......._ .....................� I:cad Connection ('omplete <br />ft ............................1 �addlc Complete <br />........................... ................... <br />� .............................Pipe <br />........--........... � .......................................... <br />...................................................... Sarvice Cock <br />..........._._ ...................................... c�.rvice ➢ox <br />... .. .................... ...........................I .............................. .................................................. <br />No. Iloms Labm� ......................_..... <br />Cut in.._ ................?'scenr.nt.......... <br />Total <br />............................................. <br />Crdei• Peceiced ............... <br />`:; ork Cumpleted..._ �...... <br />............_ <br />........................Sq. Fl. <br />........................ �� <br />........................ �� <br />........................ �� <br />........................Sa. Ft. <br />.........................:....:................ <br />............._.�...._... �1_ Foreman�/ <br />