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3998 _ <br /> w. o. ron.+� J <br /> CITY OF EVERETT--Water Dept. / <br /> Application No�. ..�...:� /% ( <br /> __. .... Datc.......::__................_......._.....10...... <br /> � Inst,ll_:...L.[...::............. .inch water service pipe <br /> �, � � _ <br /> . <br /> , , <br /> F�r . •. - . . - <br /> .. .............r.,......... ........ .._........ ............................�. <br /> 'r......... .. ..................... <br /> � - � � • <br /> , • •,..c:..i..:.l. '�... Street <br /> On _.......:.:�.f�....:�1....... ..:...... ...............: <br /> Lot....................................... ................... Block No................................--�-- <br /> :ldclition ......................................................................................................... <br /> Remarks __ - - ........................................_........................................... <br /> rT...l.,_.;;.i....................................__..._.........................._................._.............. <br /> ,_ J l /: ::. . ........ ......... ................... ........ ... . ........ <br /> ! p _ �t r � ._. . ..._.. ...... ........... ... . 1 1 � <br /> �.. �� 1 � � .. � . <br /> � 1 ' ... . I . ... . . .._. ......._.:. ._ ,�'. � . . .. . � . <br /> V I ... .... <br /> �(� � �; SuperintenAent <br /> ,�� �j i <br /> i_, .. —_ — <br /> ' „�'��' I.Af30R ,1ND IIfAT1iRIAL USF,D <br /> No. j Sizc I <br /> _ _ . ._— _ — <br /> .. ..._._..........__�...................._ T cad Cnmicction Complete -- <br /> __.._._._........._.........._.............._� gaddlc Comnletc <br /> .......................ft............................ ......._...._....__.._.........._...._._ ._.......................Pipe <br /> ._..............._....._......._.....,....._...._ Scrvicc Cock <br /> ..............._..............._.........._..... Secvice Box <br /> No. Hocrs Labor....._.....__......._...___.............Cosl....................--............_.._........... <br /> Cutin.........__._....Favemcnt_.........._...._X..._.................. ........._.............Sq.FI. <br /> ' . . '�.........._......_X_...................... .� <br /> � ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> . . .. � . ..................X._........._._....... . �� <br /> � ....................... <br /> Total ....._.................Sq.Ft. <br /> -- --------- - <br /> P.emarks......_......._..........._�-,....::.:_.__ , — <br /> ,..._.............................................. <br /> . ..... _ ._..,......_........................ .. ....... ........ <br /> ..............................._...................�......:_i...::.t.G..,.r.__...............------........---. ....... <br /> Order :'�ceiced......................................................................................... .... <br /> , <br /> \Unrk ComplMed _':. _... . ._ .. _. . _. ...... . <br /> Forcman <br />