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� ,. aA��a� �O� 3 <br /> w. o. �..aH a� � <br /> - CITY OF EVERETT=�Water Dept. <br /> Application No._::......__.....__. Date �" <br /> . :............................:................19....-- <br /> ' ;••�����..............inch water service pipe <br /> For .......................... lnstall........� <br /> -, � ........................: <br /> - ._ .. .......................................--- <br /> On ...........�`:.:.:c:...:..L:::: ...........:...................................... Street <br /> ........_-...---• <br /> Lot....................... ................. Block No......---............................ <br /> ...................... <br /> Addition <br /> . ............................................................................................... <br /> Remarks ........ L <br /> ..........� ....... -'-.................CtC'1..:�'_' ....,...........*�,..t��--_._.._...1:.:. � / <br /> � l' ..J . A _.. ' . <br /> ... r . <br /> ' _... ..... .. I ! :: <br /> �, _ �:.. .._........_: � ..... <br /> ,P �r�j ................. . �,; <br /> , �__ .. .....:::J.....p..........i---.:.... <br /> r ' �v Su erinte�den4 <br /> ����/ <br /> ��'h , V �6D !. BOR AND MATERIAL USE� <br /> _No�-� !!��Size <br /> ....................._.�_..l....................... I.ead Connection Completc <br /> ...... ........................................... :�addle Campiete . . ` .. <br /> ............i.�..l..it.. " . - �� <br /> vq <br /> ......_.................. .. ....... .... .......................Pipe . s r ,i;. j. <br /> ............._......... <br /> ......................:. �. ............ Service Cock ' �i: !.��.. � <br /> ................. <br /> � ' S:rvice Box ' ���•� "�.-t. <br /> ...................................... <br /> No. Hours Labor..............................................Cost........................ <br /> .......................... <br /> Cut in....................Pavemcnt....................X........................ ........................Sq.Ft. <br /> . � , <br /> ....................X........................ <br /> ......._............... �� <br /> �i ��' �� <br /> ....................X........................ <br /> : ;��. ,, , �, ........................ <br /> , <br /> ....................X........................ �� <br /> ........................ <br /> ` Total ......Sq.Ft. <br /> _ .................. <br /> -- _ <br /> Remarks.................................�.:,`......:�.:.:......::.. <br /> .................................... . <br /> ................._................................:....._. .� .. % <br /> ................................................._:.....:;..:.,.:. <br /> ...................................................... <br /> Order Received.......................... <br /> .......................................... ..................._ <br /> \Vock Complctcd..1_:....::..:.......::.:C:...................... ..:..' <br /> _ .'--.......... <br /> Forema❑ <br />