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9. J. PPIEOE �M � ���• /' � � �. , <br /> W. �. fORM 'J <br /> CITY GF EVERETT--Water Dept. <br /> o� �, -- - � --, <br /> Applica[ion No-c�....1......`'�'... �ate.....�.'�._".-.....__'............19='.-� <br /> Install.....�..?-.................inch water service pipe <br /> For ........................................................ <br /> �............... Street <br /> , � <br /> . . .. . <br /> .. .................... . ....... <br /> ,�D/� l '�L <br /> o„ ......................................................_......... ........... <br /> .. <br /> , o, �'"�� <br /> ..ot..............................�.—:.................... Block No.............:...r.:�:s.`�-...... <br /> Adi;itton ............._..... ... .. . . <br /> . . <br /> ::_ <br /> , <br /> ?�.emarks ............... ... �`.�.a.c..l..f...:T.. ...-.... . <br /> –�.. <br /> /` ' ' ...............................�-�- <br /> _.... .................._�.�i..rC.:�:.:.•1�.��..�..�.'..(.:�..fp. ��...`.�:..5."..�_............_......... <br /> _................................................1:�.... ....._.....F�l.?:..�J..................._--.....--- <br /> .......................................................�--:: ..........---�-��---.......... <br /> ....... ....... <br /> .... <br /> .. � �''� � y <br /> ..................................................................-. .......... ...............---....-�--- <br /> V/���� r9uperintendent <br /> LA60R AND MATER USED <br /> ----ho.__j_ Size � � <br /> _._......................I...........................i--_.�ad Connection Com➢lete — <br /> ...........�.(.. <br /> �/ Saddle Complete � ` "�,��' <br /> ....._.�,/�...._ft.............._L:...._I ......_........................._.... ......:. �//............_.Pipe <br /> _................_.... .._............... Scrvice Cock ' V <br /> ...................__.............................. Scc�ice Box <br /> No. Huurs L�bor..............................................Cost.............................................._..... <br /> - Cut in....................PavemCnt....................X........................ <br /> ........................Sq.Ft. <br /> / 'i ' � .� <br /> , ,..,�.................__ ........................ .........._............ <br /> ��� ��' �'�'i - <br /> � ... : .._............._.X........................ ........................ ,� <br /> � <br /> . ..� . . :� - r <br /> . � ' �• .................._X.................._.... ,� <br /> � c�. .. ;� . Tntal .................._....Sq.Ft. <br /> ------ ---- ---- -- — - <br /> Remarir.s.................................................................. ............ - <br /> __..............._......_........._..............................._............._.............................._. <br /> _..........._......._...._- ........ ................................................................................ <br /> p:de_ :eceice9..._............................................... .:,. ............................ <br /> ... .. <br /> % , <br /> . <br /> _ _ . <br /> ��:�»��: c��„���c�a../:1....�:.1...s..7..,;�_....�, r....� .:"......<.,::..', � <br /> Foreman <br />