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✓J V � <br /> 2 �98' ' <br /> W. D. �ORM ] <br /> CITY OF EVERETT--Water Dept. <br /> � _ � > <br /> �pplication Nor.-'`..�:��.:�:�._ Date......:,.�1...�..c-.......".....:.'............19.::'�._ <br /> .j/ n <br /> lnstall...:./_�..................inch water service pipe <br /> For .........................._.................._......, r...�......-. .. i ......... <br /> � ` '� . <br /> ...... <br /> _ ..._. _-......... <br /> On ............•...:�'..:f�..:.�..�5�..._...: ...�..�. . .. ..�ck:.� .:�.'.t-.... Street <br /> �' ii- <br /> Lot...........................f.�................---...... Bloc No.................................... <br /> :ldclition .................. ..� �........................./..................�......��.................... <br /> ................:.. —� l.................� <br /> Remarks 1�:.��L'F�_�.L.::..:.:- ..:............................. -� <br /> n <br /> <C`E�.E ,..L ' � /t.� 1 . ................• <br /> , _ <br /> , . _ c � <br /> ... ..........................�..:�... ................�� <br /> •r._..... - <br /> .............................. <br /> � _� .............�...................."'.... <br /> `..../........... ::...�...;......�..5;-.. .1.............. <br /> _L(�.`��.C�..��...-.::................._..j�....�......;..s.`...............---• <br /> , ;j <br /> .../ . ...y................... <br /> - ...... .... ............... :.:1 � �^...�__�.-. - <br /> �- �fi--� Sup�tendent <br /> _ /�`� �- <br /> I.ABOR AND MR.T6RIAL 173ED <br /> Na � __ S!ze � <br /> ----- � <br /> ............................ <br /> ..........................I Lc.d Cnnnection Complete <br /> .. , � Saddlc Compl�tc <br /> ....._.. . .. ............�..._.......I .��' <br /> 3:I.:::::::t�............ <br /> ..... ....<...:..':.��.............................................Pipe <br /> .................¢ . . . ScrviceCock • <br /> .............. �. ..... <br /> .. ........................... Servicc Box <br /> .......................... <br /> ........................... .......................... <br /> No. Aours L�bor........___ .. Cost.................................................... <br /> �.......................... <br /> Culin....................Pavemm�t....................X........................ ......................_Sq.Ft. <br /> ....................X........................ ........................ <br /> ,� <br /> ....................X........................ ........................ <br /> �� <br /> X........................ ........................ „ <br /> ....................Total <br /> ........................Sq.Ft. <br /> _ _--------'--" <br /> Remar s........................................... <br /> ..../......_..._........_...................."-............... <br /> _. ......_......_.. ........_................._...:............�......................................................... <br /> j , . � <br /> ...........................................................:.......................................................... ` <br /> Order 12eceiced.........................................................1.,�......./...........r_.C( �� <br /> � � �. . : r � , "' <br /> \Vork Camplcted...:."..........�:............. .__._.......,::........ .._.............,... .... . <br /> Fureman/ <br />