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^ w � ,, <br />S J. rtie4�{k.'.db 19A55 � � / � � - � L' <br />0.'.D.Fonn] � ' <br />CITY OF EVERETT--Water Dept. <br />- � � :' � �/ <br />Application No.::.,_�.'.�..`.:.'..... Date....:..r......'...:.:....'..._ /',,.,..lg.�l.. 9 <br />:: ...... <br />�/ Install...... �� .."� �.....inch water service pipe <br />`, <br />. ., ,. , <br />.... ..... <br />FO. ........Y.....�' ...... .......!._.........._.. . I� : .;, <br />._........� __� ..........................."_....... <br />�/(! ! iJ ) r'i ✓ 7 �7 <br />On ............-........_� ......:........:.._....::................:...:.................---.......... Street <br />Lac ...............................::!! ' ;l � �- <br />........................... Block No........ ..:-= <br />........ ............. <br />Addition .-.__--_ ,. ' � <br />Remarks .. f.��. ' � : ,. <br />�........ ' — <br />.............------- -� <br />, _. . '_ ._' � /�"I i .. � „ � '- <br />�, (� .x i f � � ' ( �SupepStendent ___ <br />— �-----� '_ '. / <br />- -_ � \�l � f. , . ,�, <br />!�A3�A A.ND MATERNI, II$fiD �' <br />No. ' Size � � ��� <br />Lcad Con�ection Complete <br />Saddle Complete <br />............................................. ..........................Pipe <br />Scrvice Cock <br />Scrvicc Box <br />� <br />� <br />No. Hours Labor ..............................................Cost..................... <br />................... ........... <br />Cut in...._....._...__Pavemenl.........._......X ........................ ......._..............Sq.'.'i. <br />T <br />ii .., .._X ........................ <br />�, : ................ . <br />........................ <br />�� � - �%� � ......_........._.X ............._......... <br />........................ .� <br />_ �n <br />�_9_, i ..................x. <br />.� ................ ....................... <br />Totn] ........................Sq. Ft. <br />----- — <br />i j �'—� <br />l' <br />Remarlcs. .._l.�.........�........:_..::::.. � , . <br />. ............- <br />.......................... <br />.......................... ................... <br />Order Reccived .........:.......................................................�. <br />�'�'ork Com �leted...;. ' �_`�..,.E_....t......./ <br />_ ,, . ..... . '. "' <br />} .__..:.....� .-.....:: I i � (' � <br />..........:................. <br />............ .!... . . .. <br />Fore t <br />