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/ <br />�(i. O. IORM ] � � �/ • � ' (I C � � <br />CITY OF EVERETT--Water Dept. <br />� <br />, � , , ., <br />Application No.i.: %. ��.. �..s>... Date........._EG..._�..19fiF ................19...... <br />,- , Iastall .................. ........... .inch water service pipe <br />Y 'r <br />For ..:..L.........5..1. <br />On....................:` <br />�it..�� �.:�..1 <br />Addition ........... <br />Remarks ........... <br />........................... <br />.............................. <br />............................. <br />_......__..,- _ � <br />� .......................... Street <br />,._....�-�::f.�:r .(''S..(..�'......... <br />� �``� ���.�.-1: Block No ..................................... <br />� <br />.... ........................... ... �� J � Superintendent <br />................................... l <br />LARO* AND MATERIAL USED <br />I _ . --- <br />ILcad Conneclion Comr,�lete � /-�, .� �' <br />Sad;llc Complete , , (� '�/`�� <br />I ' i � D:..n <br />Sc vice Cock <br />Ser:�icc Box <br />No. Aours Labor_ ..............................................��......................--------_......5 Ft. <br />. .................. 9. <br />Cut m ....................Pavemcnl....................X........................ �� <br />...................X........................ ........................ <br />....................X........................ ........................ <br />,� <br />....................X........................ ........................ <br />.� <br />Total ........................Sq. Fl. <br />—_�--' <br />t:ema rks ...................................... <br />....................................................................... <br />Order Receiced ................. <br />\Vor}: Completed ............. <br />........ ..........__........ <br />� <br />..... _ .................................. ............ .. <br />Foraa�n <br />, <br />