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W.,U. fOv�I-����� ^ _ �I � , . t <br /> CITY OF EVERE'TT--Water Dept:. <br /> ApplicatiouNo.'�_�:.......�. �!.. ._. D•nta............'�........�........................19..t.. ". <br /> , , lastall......._......................inch water service pipe <br /> . � . <br /> For .._...._..........>.�.,:.._.:�..:...:..:.:.r,...................._.......................................... <br /> _; � <br /> On ....._..:....l.r:...�::.................:_....:.�............:_;..._.............................. Street <br /> Lot......................................_--.�..............._. Block No. ................................... <br /> �ddition ...._........................_�,.�......._...._...........,;,.............................._-�- <br /> Remarks ............................ . � e.....:..:;�._._!._s:.�..:.:..:............................ <br /> �... <br /> ............................................................................................................................ <br /> __..............................................__....._............_.................................................. <br /> ............................................................................................................................ <br /> .__...................................................................................................................... <br /> - Superint^ndent <br /> I,ABOR A\D nTATF.RIAL USF.D <br /> No. i Sizc ___ ___ <br /> ___—. <br /> _..._ __i..__ r - __ <br /> __........_.........__................_..._....� Le:�d Connection ComP]etc <br /> ._......................_�........................._� S�ddlc Camplete <br /> .......................ft............................ ..._..._._..____........................._....._._............PiPr <br /> ............................ <br /> ......................... Scrvicc Codc <br /> ........................... <br /> ........................... Servicc IIox <br /> Nn. How�s LaLor........_......_..........._...............Cost...................................._...__....... <br /> Cutin....._......_.....Pavement....................X..........._........... ................._..._Sy.Ft. <br /> ...................:K........................ .� <br /> ....................... <br /> ....................X........................ .� <br /> .........__........... <br /> ....................X........................ „ <br /> ........................ <br /> Total ........_.........._.54.Ft. <br /> _-------- -- <br /> Rem ark::........................................................................................ .................... <br /> _............_ . .... ...... .......................................................................................... <br /> .............................................................................................�...................... <br /> Order !?eceived. _......................._...._....... <br /> \Vor�: Cnuiplctod._ __...._ _. __ . .... . . . .. ......... . <br /> _ <br /> Furem�n <br />