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. . . V <br /> W.D.Fo�m 3 IQV I I.Ih7� <br /> CITY OF EVERETT-.-Water Dept. <br /> Application No. "._S � � Datc �/�.� 192...._" <br /> � .r <br /> Install.. inch watcr ser��icc pipc <br /> For _�"-u-"-�-e.ilJn .� �d_�-�--QJ--!�� _ _ _ <br /> On . ......._ � j �.�..: . ¢�-�--�fl ._ __. _ _._.. _............_ Scrcet <br /> Loc_............_.............. ......_... Block No..... ._. ._ _ _ . ..__.._.. _ . <br /> Addition............._.__..._ _......._ .....__... ..........._........_..._. ...._............ .__..._. <br /> Remarks...._...................................._..........................__.. __......................__. <br /> ............____._.....__................. .. .. .__.__.....____.__............._......_.....--- <br /> ._ _ __....__ .......... ......... .......... ........._............_ __................_._ ..._....._ .._.._...- <br /> ... <br /> _ _ _ <br /> _ �. �: � _ <br /> $uMrint de ... . <br /> �r�- <br /> _—"—_ -__—__-__ :—_� -_--_ . _ <br /> LABOR .1\ll J1A7FRIAL L'SSiD � � <br /> No. Size- - - - -� . . _ . __ . . . . . . .__ <br /> __--_�........ . f- • <br /> _-._ —._....__ _ .. _ . _ � ___ _ - <br /> --��•--���-�� . ..d".....J�:;17( Lead Connection Complete <br /> ........1........... ...:...y.x..a-.'. .I s8a�te cy�,�i�c� <br /> . <br /> ...........1..._... � .._..��. �....... ...._J:rL:lr.r`�............................_.Pipc <br /> ...........�'......._tt.!..'...:,x..'.... .� Service Cock <br /> ...........'......_..... .�.��cZZ<f��. Smvice Box <br /> ................._....... �...._.............. .. <br /> ...._......__. ..__.._................_..........................._................................_... <br /> ...........................i <br /> - . . .. .__..........._..................................................._........................... <br /> ...................... . . . ..._. <br /> . . .._... .. . ........................... ..... ....... <br /> ................... . I . .... . . . _ . . . <br /> — . --- ------- --a -- -------- ----- -- <br /> , i �7 <br /> No. Houta I.abor.......:y....2::.....................Cust...2..-................................._....__ . <br /> Cutin...............-...........Pnvement..._..........._..X....................... ............._.._Sq. Ft. <br /> ....................X............._......_ �, <br /> . ..._.....__.... . <br /> ......._..._.._X................__... .. <br /> ..........._.... .. <br /> _......_....._...R. _...........__ _.................. .. <br /> Tntal .................._Si�. F:. <br /> - -- <br /> .. - -- -- --.. ..-'=-_ .. .__ . <br /> . - — .- .. �_- -.. . <br /> ./ --=-- <br /> Remarkys 11�irnal Slit� vr �.l._��tl.... �...�, - <br /> _.._...C�vC-fij�l.4-A�YiI�...tryL._ ��rt,J£99t�fit� .. .. . .. _ .. .. <br /> / _. ..... . ____..... <br /> ...._..__ ._..._ . _._. .. ...._ . . . .. ` <br /> _._.v <br /> Order Received <br /> �q � � <br /> Work Complcted f . �,. ���i £iJ��,i/_ <br /> Furcman C �J <br />