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S' T 7� <br /> .. �. .o� - - <br /> CITY OF EVERETT--Water Dept. <br /> Applicatimi Na.�,.::...........:_d Date_............�.�.......��.._...... ...........19._:.: ' ' <br /> � Install..._................_j.._.. .inch water cervice pipe <br /> � � � � � <br /> , .., <br /> F�• ::..,,.:.... c. , <br /> ,.i .......�..:. .......�.. .....,..._..._.....:_...._...._ ................................... <br /> . i �/ <br /> (?n ..........�L.'/..'.....`;........._.....:..1.:..:...._.............._._..... .................... Strcet <br /> / <br /> I.ol.............................................. .............. Block No..................................... <br /> :?ddit m ............................_ ,.........................,..........._............................ <br /> ...... <br /> Remarks � .- � . � . -. <br /> ...........................:....f...........,.:..�:..:._�-:--........................................ <br /> _......_............................................................................................................_ <br /> Superinlendent <br /> � I.A60R��ND TIATGRIAL USED <br /> No. Size_ _ ____ <br /> _—_____-- ..�_ <br /> .........._...................._..._...... ... � L��ad Conncetion Complutc <br /> . II...._.... __._.......' Sc:ddle Complete <br /> __.................... . <br /> � ___...._.....PiPc <br /> ..._..................ft................._......_. ..__ _..._................................___. <br /> ......_............................................. SL'[V1CC COCIi <br /> ..................................................... SCC':ICC IIUX <br /> ............................""'.....................I <br /> .......................................................................................................... ..... <br /> No. Hours :,:�bor_.....__._._............................Cost................................................_.. <br /> Cutin.. ... .._. _. ]`avc:u�,nt_..................X._..................... ........................SG.Ft. <br /> ....................X....................... �, <br /> ........................ <br /> ....................}C........................ ........................ .� <br /> ....................X........................ �� <br /> ........................ <br /> Tolal ..................._._Sq.Ft. <br /> —.:--___ _ .__ . <br /> P.cmark�_..._. ___........._._........._............................_..._............._................... <br /> .............................................................................................................. ............. <br /> .. .......................................................................................................................... i <br /> , <br /> �rder hecciced....................__............ . ........................__........................._ �' <br /> l�'ork Cmnplcted__. ._. _....__ _ ... .. . .__.__ . ...._ __.__ ....._..__. .. [ <br /> Forcman <br />