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- _ _�-Z � �' �° ,. �� <br />". D. Form <br />S.i.l'rieLe <br />CITY OF EVERETT--Water Dept. <br />Application NoLf�-�-, /_ Datc.•�--'�- ...---.I�t`. � <br />i <br />Install: �i�=y .-------icch warer scrvice pipc <br />, ' ..- - -- .... <br />/ --'/-- ,/.�. <br />,_• <br />� �. <br />For------'.:i..�.--(-.... y�_-;�------' <br />��..�.�!.d....i�f-.�rr �.Jlr.�/.......--".' Stcect <br />On..----^ <br />Lot..----� - -- ---•'-- -•--....BlockNo.--- �- -..- -- -.... <br />--......_j :............. <br />� -----•'--- <br />Addition.---•--�:^=-�- ' ... . <br />Rcmarks ----�-- �i�i.?_:i� � ) / -- <br />,,�- -----.. <br />/ f� � . • <br />P.ft!lt'J" �..rl..-' -•l.:!. 7=4'C."' <br />-•."""" �� ... "'.__'_ <br />� _��`-- --'----- ....-� C�'--;� - -- --- <br />, <br />'- - - ' <br />/ - ------ <br />-- --- C'� <br />� <br />( "� -"/�_�if`_�!'cf"'s�i�.��i:.�<�,i.•�n � <br />,/� �1 <br />, i'�� r _— __ -- <br />LAl30R AND MATCRIAL USED <br />No. Sixc_ —_ ___— _ __-_ _ <br />"_'___'_' _'"""_'.... <br />Lcad Cunnectlnn Complcte <br />""__ "'_"""'_"'_ Snddlc�ampetc <br />___._ �.w– a�+1P.?i . __'_._.__._Pipc <br />� .. _' '"_ <br />z-- �, - /� ----- ------ - � <br />----- <br />--•-� - - s�r��« c�� <br />"'""""""_ '""'_""_' Scn•iu Unz q <br />'"'"" "'"'" '"_/",-1'_" { �, �: � f_a �.�_. .._"_' ,� <br />. "' . <br />--- --J �y- j --� o q��1 ,t �. �,�.�- �(J. �--- - <br />------ �I _ /z -i - � - - - - <br />- . <br />___.. <br />------ . _ . <br />- <br />-- - ---_..... <br />I -- ---- <br />---- _ � � 8.�2 <br />- <br />.. .. _..�. _ . -- � <br />._. <br />No. Houn Labor'_""_""'_ cq. P�. <br />_- <br />Cut in"_'"""""_Pnvcmcnt .... � .. <br />� "_ . _ . � . .... .. - .._ __ .. ,. <br />�' � �'� "' <br />\ ... _'_'_'_' <br />_._..__'_'.. <br />. .'_'_'.._. ._ „ <br />"j'y� / i.i� "_" \ —' <br />T„�,t - . _ .. <br />_c.,. r�. <br />Remarks.----• ---• --_ --- — — <br />--- -- — <br />, - <br />-- <br />---------•--------------�- ----'-- ------ <br />Ordcr Reccivcd---' ------ --•------------- � - <br />_ _ -- - -' <br />VVurk Complcccd .-------'- -- -- - - --r„�.������ <br />� <br />