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4. J. PPI[B[ iM /33 _ - <br />w. o, ronw o 4� .� V i� <br />CITY OF EVERETT--Water Dept.' <br />..:. <br />c��s��� , . , / � <br />Application No ................_......, Date........���j�G �i.:L..1.............19It:� <br />Install ............................J.inch water service pipe <br />For................ ............. .. ......................................................... <br />i— � <br />Cn ..�-�.-�..I-��.....C..�'-.-���'.—..��:G.�.._ ................................. Street <br />Lot............................................................. Block No............----..................... <br />Addition......._...__- ...........................--....................................................... <br />Remarks...................................................� ................................--�--...........--�- <br />........................................ ................................................................................ <br />Superinlendent <br />LAHUk A1VU MA7'�KIAL U��U <br />Size <br />..............I :.cad Connection Complete <br />.............' Saddlc Completc <br />._._....... .....___._._......._..._ .........................................PiPc <br />............. Scrvicc Cock <br />............. Ser: icc Box <br />No. Hom•s Labor......_......__........_.....__.........Cost............_ ...................................... <br />Culin ..............._..FavemenL___.............X........................ ........................Sq. Ft. <br />....................X........................ „ <br />........................ <br />...................X........................ �� <br />.. ..................... <br />................... Y........................ ,� <br />................... .... <br />Total ........................Sq. Ff. <br />---- _--_.----- - <br />P.emarks ................................................................ .. _..... .. _. _........................... <br />_ ......................................................._............_.....__............__......._.........- - <br />......................................................................................................... <br />Order'.'.ecciced .................................................._......................_.....__._....._ / <br />\� orl: Campleted......_ .................._............................._._........................_. <br />Foi eman <br />