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0.'.D.Fonn 3 I500 3-I-17 C.P. , � <br /> CITY OF EVERETT-aWater Dept. <br /> Applicatiun No.__�D_L�__ llate------l.��L--�-191�-- <br /> , Install �2,__.___inch water ser�•ice pipe <br /> � �.. / <br /> For _/�=A-" _-------- --- <br /> Oi:--- - --'� �//--��__ -- __ ---- Street <br /> - ' ----�-.- <br /> tAc _' �_q_---�-l- - rti���.� v(�___ 6_4_3 ------ --- <br /> �� <br /> Adaition-- ---- - -- - ------ -- _ ---._.------ ----- <br /> Remarks ---- ---•--- ---- ----- -- <br /> -- --------- -- - ------- - -- - -- -- ---- <br /> � � <br /> --- �_,�_� _u., <br /> Supe n ndenl <br /> LAROR ANf) A4ATEItIAL USED <br /> NQ SIZF <br /> ___ / �__ .r <br /> '_"'�/.._'_' �h---._ Lr:�d Cunnrdiun Gnnplcie <br /> ___ _ <br /> r <br /> ___'__.�'___' '._�o.� ___ Snddlr�yG�J nplqetr <br /> ---''J��--f4 ---�y':. - --'�'"�'v� -- -- � ----_.Pipe <br /> ��_. Scrvire Coctk <br /> "_"_ �_'__' __ _ <br /> '____"�'_' �.��'_ ServiceNox � <br /> _'__________' _ <br /> _--.—.— �+j / q <br /> No.HaursLabnr. .. �.EP_''__ . . -Cost_ -..._b-'.- �U_`.__'_'"'__' <br /> Cutsin__..___.. . _.i'normcnl____._X.. _. ._. ._. ..'_.__.Sq. F�. <br /> .__ ___ ............ . .________ <br /> .. <br /> __A__ .. <br /> ___ ____""__ .________-'_ <br /> __X___._.____ �• <br /> Total. _ _..__ Sq.Pt. <br /> Remarks-- - ------- -- - ----- -- - <br /> - -- - _ ... - - -- - - -�------------------ - <br /> __ __ - -- - --- --- --� - - - - --_ <br /> _.. - <br /> Order Received --_ ��-- �l,��/`-0---__-------_- <br /> �4'ork (�+mpleted _ -- ^���J.,` . -- --- -- <br /> 6orrm:�n <br />