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s �.ve¢e� an�\/ ��O " _ . . .. . . <br /> w. o. ronrn o ' <br /> CITY OF EVERETT--Wate� Dept. <br /> ; <br /> Application No..::..:.................. Da!e..............:.................................19..--- <br /> lnstall......._._!<:..............•inch water service pipe <br /> or ..................................................._--• - <br /> ...................................................... <br /> .................._. ...........:................. Street <br /> On ..................... ................................. <br /> Lot..................._.........................._....._....... Block No..._...................._........... <br /> Addition ......................................................................................................... <br /> Remarks � ....:...:..........::..:...::...:.....................--._..................... <br /> ..................... <br /> ............................J................. , <br /> ............................................................................... . . . . <br /> ..........:./..................................................................................................... ....� <br /> ( ' ./ � : , ' .. ' ...... .. . <br /> ' ................I.l...l.:...........�_L................................a.................. <br /> .............�.... <br /> �: ' , . ...............:. ..........._. I........... <br /> .__..............:...................................:.....�.4......... � <br /> . Superintendent <br /> �—= I T LABOR AND MATGRIAL USED <br /> .. � i i <br /> o. � — <br /> �-I— -— <br /> _ � Lood Conneclion Complete <br /> ' ................ ..................... <br /> '� , ,,,,,.., . . Saddlc Completc �ry� � <br /> ......................... <br /> ....3..'�......s�:_....... 3�f:...:. ......_........................... �. ..t�-a...........p��� <br /> , q <br /> ................................................. <br /> .... Service C�ck ✓ V <br /> .......................... Scrvice Bos <br /> No. Hom-s LaUor.._............... _.........Cost........................................_......... <br /> ................ <br /> Cut in . .. ....Pnvc�icnt.........._.._...X......._............... _......................Sq.Ft. <br /> ........... . . <br /> �� <br /> ..............._._X..--...._-"--...... ......._............... <br /> ....................X..............._....... ........................ <br /> �� <br /> X........................ ....................... �� <br /> ...................Total <br /> ........................Sq.Ft. <br /> _----- <br /> ------ <br /> Remarks............................................................................................................. <br /> ................................................................................................................... <br /> ........................................................................................................................ <br /> OrderPeccivc3......................._,.................................._.... . . / <br /> � ' '� _��2�t..t.�,.`.. <br /> ............. . <br /> \Vnrk Ccnplcicd_..._..�� ..�`:�_�f;,�___....._ �" I <br /> Foreman <br /> � <br />