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S. J. PRICBC"JM/O/� Q + .1 v . <br /> W. O. �OFN , <br /> CI�CY OF EVERETT--Water Dept. <br /> , q - <br /> Application No.l�:.�`��.. Date.......(.....'.........�....-........19..1�.:� <br /> � ii . . <br /> install......:�!�............inch water service p�pe <br /> , <br /> 1�or ................................................................................ .................................. <br /> o2c .2 � " / �( <br /> On ................................... ............ ......�G�.. .......�........_----. Street <br /> I,ot.............................................................. Blbck No.................................... <br /> Addition ...............r�....................../. ........_..�......... ..... <br /> Remarks�..../......../�G.:.Y..�C_(.<.;`eG(:-_........-�i.�`'r."`T'•�-w----....... <br /> ...........:��..?.s�_f:S.C_..!:.C-a....-"�../.....-- . <br /> ............�/...�. .....,.. "'-"�-�......... <br /> / <br /> .............................................................................................................................. <br /> .....................................................................r. <br /> , .......�--�_f�...........--------- <br /> ................ .......................................tl.:�.....t.;'�...:�.....::....�................. <br /> Su rintendent <br /> I,ABOR AND MATE 1� SEP � <br /> No. Size � <br /> -- -- -- — <br /> ...................................................... Lead Connectian Complete <br /> ............. ................._ � Saddle ComPlete <br /> .....�. ...�.r... <br /> ......�.�.....it.. (#..._.. Q..�'..�....�...........................................................Fipe <br /> ..................................................... Service Cock <br /> ...................................................... Service Boz <br /> .�....�....._........ ...._.................I ......_.�.........._................._................................�.............�_...�....._...._. <br /> No. Hocrc L�!:or............ . ...........................Coet.................._................................. <br /> Cu[ in...................Favemc,iL....................X........................ ........................Sq.Ft. <br /> ...................X............. ......... �� <br /> ........................ <br /> ....................X..............._....... �� <br /> ....................... <br /> ...................Y......................... ........................ �. <br /> 1'otal ................... .Sq.Ft. <br /> ------ <br /> R^marks....................................................... ......................................_- ........ <br /> ..... ....................................................................................... ............._.......... <br /> ....................................................................................................... ..................... <br /> OrderReceived......................................................................... .......� <br /> \Vork i.ompleted..........�..�C�..'.-�.��........................ ................. . <br /> Foreman <br />