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� ./�-'7'9 8 . _ ,� � : , �, <br /> w. o. ronrn i <br /> CITY OF EVERETT--Water Dept. <br /> Application No.L:.,':_.L.1�.1... Datc...........��...... :.......................19.....;• <br /> / <br /> Install.f:...........................inch water service pipe <br /> ror _....:_..!.::_....!..........�:............-' ...e...:. .. <br /> _ _ ._ ............. _........ . <br /> � � -� � �/.... Street <br /> On ........i.._!.._!::.........,c..L...l..:.:..--,..:...............:....:...........c........ <br /> i,ot_ .....___ ._........_......... -.�............... Block No.................................... <br /> Addition ...._................................/,�..........._........_..r............._.................. <br /> Remarks .__...................................:.�:......:..:....:..:..C......................_............. <br /> .............................................................................................................................. <br /> .............................................................................................................................. <br /> ..............................................................._............................................................-- <br /> ............................................. ................................................................................ <br /> Superinlendeat <br /> f,ABOR AND 11fATERIAL USF.D <br /> —No— --� Size I _ — <br /> __ �— _ <br /> .._.......................�.._.._........ � I Lcad Connection ComPletc <br /> ..........................I.......___._.__ .bu:SJle ComPlete <br /> ....... ._.........._ft.........__........____I ....._.........................._._.........._............._._....PiDc <br /> ..................................._........_..... Scrvice Cock <br /> ..._......................... ._..............___ Scrvicc IIox <br /> .......................... ......................... ......_...........�.....�....................._......_...._....................._....�.............._.. <br /> No. How:; LaF,or......_........ _......_......_....._...CusL............_..................................... <br /> Cutin.._.__..___._Pavemont........__ ,......X..........._......... ........................Sq.Ft. <br /> ._................X..._.._...........`-• �� <br /> ........................ <br /> ................_.. '....._................. .............__........ <br /> �� <br /> ....................X........................ �, <br /> -..............__. .. <br /> - Total ............._. _...S9.Ft. <br /> --- -- ._ _..- - -___----- - -- - ----- <br /> !:einarks.._ ..........................................................._ ......__......._.................. <br /> _.. ........................_..............._............................._._..................... <br /> .............................................._.._....._.....................:_ ....._........................ <br /> OrderReccieeJ.._........ ......._..........._................................ ... ... ................. <br /> \Vork: Complcied . ........... .............._.__.._.._.....___... . _..___... <br /> _. <br /> F arem:m <br />