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S.J:�riebe�M1d61935'JV �/� -0 n �'� <br /> W.U.Form J <br /> CIT1' OF EVERETT--Water ept. <br /> Ly,l(I .. ��te...,�..-...........��_"-........19�/ <br /> Application No...Q..,..•. �� �� <br /> Install.............�....-����•��incU water servIce pipe <br /> � d— � � <br /> �: ti:u.-.. .._�t::�:�.::�................................................. <br /> �:<......... ........ <br /> For ......... / <br /> ' .✓�..._3.1�0........�.:.t�:!.�l................... Street <br /> Or ............................. . <br /> �,. <1 ................... <br /> Lot...................................!........................ Block No.........�.;T 3 <br /> Addition ............... ..,.............................................. <br /> .... <br /> .. � <br /> P.emarks ...T� t.:"._'.�'C•:C................................................. . <br /> .......... <br /> .................�. .... ' . <br /> �":�.............................................................._....................................---............. <br /> /.. . � .................................................. <br /> �. .. <br /> � �,� '' .._....._...........................�i�� <br /> � . ............. .. . <br /> ............... <br /> .. ....................................�-- <br /> ... ........... �� : <br /> _� �t�...,� e ...................... <br /> ..... ..........�....;J...... <br /> ...........� <br /> ....................... ......................... . Su rintendent <br /> �;���__ <br /> LABOR AND MATERIAL IIS6D <br /> ' Size ! <br /> No _— <br /> —.–.--'I <br /> Lcad Conneclion Complete <br /> ..................................................... Saddlr. ComPletr <br /> .................................................... �7 <br /> �� . ..... .............(..�_o-:. .a..;�a�:..*..::...:.........................Pipe <br /> ..........,�..�......St............Z:�.. , <br /> ? Se.•vice Coa ' <br /> ................�........................�........ <br /> � Service Box ���' ,-`�, <br /> ..........................._..................- _��.:r._�a... a.P...r:....:�"� <br /> .....�...._...........%.:�.'.............. �"��............................................ <br /> � C��...:.. :�r.:.:...... ......................................................._.............. <br /> ....._!....................,........... <br /> .... <br /> .... ........................ ..................................... ... <br /> No. Iiours La or....................................... <br /> `j...co�..l.�.:�:?.:. <br /> ............................... <br /> ...................... <br /> t. <br /> Cut in.........._.......Pavement....................X........................ .. • <br /> ....................X........................ ........................ <br /> � <br /> �. . „ <br /> � . . ...... ............... ...................... <br /> � <br /> ._. _........ . . <br /> � � ...................x........................ ........................ ,� <br /> � �y<i ' � �/.r�f Toi� sq.sc. <br /> ....................... <br /> t =---- — — <br /> --- ---- <br /> ..................... <br /> Remarks................................................ .......................... ..._...... <br /> __.............................................._...._................ <br /> _...............................--..............._....................... <br /> .. . /� <br /> Order Received....- ...._.................................................,�.../... ...................... , <br /> /^ ~ • '-.� 7 ��^(iC<<s�[Gl._.........""'"_'- ! '. <br /> � .........,:.�................_ .._... ' Foreman l <br /> \✓ork Completed...:...........,.� ,. _ . <br /> �c �� <br />