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� ;�329? � �,��-�.- <br />� <br />w. o, ron � <br />CI"CY OF EVERETT--Water Dept. <br />ApplicalionNo..�...�-:_:_:.. Date .........::.:::..:.......:.:..'..'..............19.:...'. <br />., <br />Install........c� .................inch water service pipe <br />For.... .............................................. ............,.......................................... <br />^ �....... � i <br />On ' '.. ' , , , ..;1. C ` .� f�'� ' - /r ,^ < StreeL <br />............. ............ ..........�... .�... . �...jT�........ <br />.... .................... <br />/� <br />Lot.............................................................. 'Bloc:� No..................................... <br />:lddition ................. �.................................................................................. <br />: >: <br />Remarks.............'..�i:..t�,:....F.::�::.�.-........_....._..........:.............................. <br />. , <br />��C 4.C4C '. C c.: �f c;ii <br />, <br />_ ..........................�..................,...........` .......`.:....:............. ..... ....}" "................. <br />J . <br />.. 4 � �. rc� : <br />.................... �.-..........................�../..-..:........................................1�...................... <br />. :....�C �C C � <br />_ l.. �.�.`....:.. c . ............... .. . . . .. <br />/j���, � Superintr.�ent <br />� �. <br />LABOR AND hiATERIAL USED <br />No. <br />......................................................I :.ead Connection Complete <br />...................................................... SadJle l.omplete <br />......_i..: �.:.. :...ft . ..................._...... .....:.................... ......................_.................._.Pipc <br />..................................................... Scrvice Cock <br />.._ .................................................. Servicc Box <br />No. Hnurs Labor <br />Cut in .................... <br />.....................X........................ ........................Sq. Fl. <br />....................X........................ „ <br />....... _ ............... <br />..... .............X........................ .� <br />........................ <br />....................X........................ �, <br />........................ <br />Total ........................Sq. Ft. <br />— -- ------------- _� --- - <br />Remarks...... ..................:..................... _.......................................... <br />..........................................................................................................�---.. �. .. <br />Order Received ....................................................................... ' <br />.............._:.. <br />Nork Completed ..::.......:.......:_ :..:.....:..._........_........._..:............:..._.. ��, <br />__ . <br />� Fvierrian <br />