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�. 1. Priehe�M �,�6�SS/ � � ( / " .. - — � � <br />W, U. Foem ) � �N �ti/ • . <br />CITY OF E'VERETT--Water Dept. <br />Applica:ion No..��1.Y 4..C.�.... Date.. .../......................_°'..�.�t�!...19J^..� <br />I�nstall...........: �.:%..Y.......inch wa;er'scrvice pipe <br />� ; � • <br />Par ....................._._ I.t._7:_`s�_..I.....::.'�...::...4..:5.:....'........ �.:.,::...=............... <br />,, <br />....,....... ... --..: � <br />On .................... - !1— f '. ;....c_ �....:..:........;� :—J....... Street <br />� � �� • � ... Block No ..................................... <br />L o t ...................... _': /... :........................ <br />Addition...............................................i:...................................................}... <br />` - � � � ( 1 J ' ' / ) <br />R�mar� � .. � , � � � � — ��r A <br />ks ._......... .........:.. ..:............._._...x4................._.................... . � %,'. <br />,1 <br />.....................::.................................... ......_...............................- --- - - - " <br />.� <br />.. r� l,' v. .. � --�-----�- J <br />t, �],� <br />.,. � .. �, ' - —_ <br />�\�`,_ �� % LABOR AND MATERIAL OSSD <br />No. I Size <br />Leazl Connection Complele <br />Snddle Cumplete <br />,� �.�_ �e�::L ............................... <br />SerJice Cock <br />Scrvice L'ox <br />No. Ilou:s LaUor_ ......................_....................Cost............. <br />Cut in...._ ..............Pavemenl................... X..........._........... <br />................... X........................ <br />............ _.... _ X.... _ ................ . <br />R e m a r ks. _.........J. i?.�1.:, <br />._..._ _._.._.._....r..\.11 <br />Totnl <br />PiPe <br />........................Sq. Fl. <br />........................ „ <br />........................ �� <br />........�•:.4.1........_ ._....... <br />Fl. <br />.__...__. _. _._......._ ..........................................................._..................... ........... <br />Order:cceived...._ ......................................_........_....................._............... <br />\'rork Cmnpleted...::,:�t�: :..:..........:......................_„r��l...._�rt.,.t....�,. <br />Forema <br />