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�w o .e�/-S 78 f <br /> CITY OF EVERETT--Water Dept. <br /> Applicalimi No..:...:..._..'._d. ./. Datc............:.�.........�._...................1�J....:: -: <br /> 1 Install............... ..............inch water service pipe <br /> i <br /> ^ � �- . �� _ . . <br /> F,,r _:. ...._..:._�.........._:....:.._�._............. ..........�.................._....._...... <br /> �_._.... , <br /> On ._.....�.�---....r�,..L.:._.......:..L..:'..:..._:....___..._. .._.........._............... Strcel <br /> I�oL...................................._...................... B'.ock No.._.................................. <br /> Addition ....................................._.,................._......._......._................_..._...... <br /> , <br /> P:marks ..................._...........i.�..:::.ti:r..:..:_.::....',:...:............................... � <br /> ._.._._................................._....................................................._............._...._... <br /> .. ........................................................................................... ......................_........ <br /> _._... .........._........................................................................_......._._.................. <br /> _._.... .................................................................................................................. <br /> Superintcndenl <br /> LABOR AKD iVL�T[3RI.1L PSEU <br /> ___ _______ Sizc I <br /> ho. <br /> _ _--- ---------- <br /> __................__,.._..... ........,......� Lcad Cnnnection Complete <br /> ._......................�.......................�I 3addlc Completc <br /> _...._.�............St........_.........__.._. ........__..........................................................Pipc <br /> ..__............._.............................. Service Ccck <br /> ._.............._................._............. Service Box <br /> No. F{ow�s Labor__.._....................._..............Cost.................................................... <br /> C�it in_. . . ]:;ec:m.nt _......._.......X........................ ......................_Sq.Ft. <br /> ...._............_K..._................... ........................ <br /> �� ' <br /> _.._......... ...X.._.................... ,� <br /> � <br /> ........................ <br /> ..__............_X........................ �, <br /> ........................ <br /> Total .................._....Sq.Ft. <br /> — � ---- -----� � -- --- ----- <br /> Re m a r ks............................................................................................................. <br /> . .._.........._.._.._...._................................_._....................................................... <br /> . ............................................................................................................................ <br /> Orderrecei�•ed.. ..................__..__....___..._._. __...__._......__..__._........... <br /> R'ork Complctcd._._ ......... ._..__.._ ._.. .__ _ ................ _/. <br /> E'oreman <br />