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� u:'n.Fo.m3 iuro ;;.ini� <br />CITY OF EVERETT-•-Water Dept. <br />Applicationtdo. !!���.. Datc _?.�� _192......C� <br />� n <br />!� Inscall .. �' inch water servicc pipc <br />For LJ 0"VL-atl--a-�.`/ qF' Q-'L'�'f'"/�-- <br />c ^ <br />On .. ��^J O y 7')") '. __ �r... Street <br />Loe ..__...... ..... . 3 �! . ._ Block ...� d '"' <br />Addicion_........_......_ ................. __ .__.... __ <br />_ _ _ __ ............. ........... <br />Rcmar s ......................................_.._.._....._ ......_ ... ..... .. <br />...................... .___.. <br />__ .................................._....._....... ........_..................._.........._....__._._._ <br />_....._._ ....___ ....... ........_.._..........................._._ __._ .._-.... <br />.......... . . ..... ........ _ .__. ._..1 /..___ <br />__ ... _ _._.. <br />C . �' I�.��.��� �d-n — � <br />...... . ........ . . <br />.��� <br />_—__` =- --`—'_-�_'_— `_ ___-_ .-_-=- _ __ _ _ <br />LABOIi ANU �W7'liiilAl. USED <br />-- No. -- - � - - - .._ . . . - .. � - - <br />Sixe I .__._ _ _. - <br />—______ .�.. . _. _ ___.___..___ <br />.............�...........I.......1..:��s.tif Lend Connection ComPlete <br />......._...1 ................ac.X..f.......� Sndd�le Co�nPlete <br />_ �� '. t . ............._Pi <br />........!�V.._....tt. _....:,:....._.__ __..Jr.L-...:r.�.... _.... pc <br />..........� ...............� �. .. Screice Cock <br />�,_.. <br />, <br />........1 .............._ I,..:�:.n...,.. Scrvice Hox <br />..... ...(.. i _ _ �'.il�. ��.r�-t ..... . ........ ... .. ............. <br />/ .. i a. a. l _ ". �'L / ��� ............ ....... . .... . .............. . _ <br />..........._........._...�..._ .... ............. . . . _................................._.............._............_...................................__ <br />...........................I........_ ....__._ I _......... .........:...._.... ....... _._........................._......__... .... <br />— ---- <br />. , r— -- --- - <br />/ ?' ._......_cost.....:....:.� <br />No. liours I.abor ...........:........2'... ......................._....._........ <br />Cutm..._ .....................1 nvement......._,._....._X....................... <br />• > . ....__.........._Sq. : t. <br />_' ..............._X...___............._ �, <br />.............. ... . <br />................... \....._.........._..._ �� <br />..........._....... <br />....................X.................._... ,� <br />........_.._.... . <br />Tocal .................._5�. P�. <br />—__— ....._.- - -_ /.�7 l��s_ . . �__ - -- --_---- <br />Rem�rk's �i�f-ti;�: hp�yn._. �7 .. ,. ... _. <br />OW?�.� 9 ..vl/�A�.1Li...+- -� .J.-�;a„iS��:t.��� ......_ <br />_._.._ . ..__. . _._ .. ._.. _.. <br />Order Received _ <br />� � �/ <br />Work Com�lcced �. •� L lc F„y. 1 <br />ro.�m.� ,� <br />