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t J. MI[9t ]/'I��J � ' <br />w. o, rona � � � a o-0 <br />C. TY OF EVERETT--VVater Dept. <br />- - � ; !- <br />Applicalion No..�.�..S..J_.�J... Date .................... �� J......19.�?.. 2- <br />.............c.. . <br />Install.......__�:1�,<.,':.......inch wnter service pipe <br />._ . , <br />For ...................i......:.. .�.....---...�..1, :.:5_,!.............:. . ^ � <br />............ .. :..:..:..:. ..._..... <br />. � . <br />On ...................\��...�...I......:.t:l.:':':.:�...i' �t.� .--........ Street <br />..................... � <br />a,o� .........................................�----......--�--... Block No............._._. <br />................_ <br />!lddition ...................................................:.................................................... <br />`_, � ,,, . <br />Remarks ............�:_�:�:t.11.::::.......:....::..-= ................._t._......_.-...._..... <br />,. . .. . � ,U �/ / ----- <br />s I� � <br />_ <br />. � ., ;L OE AND MA.TERIAL D3F.D <br />Lcad Connection Complete <br />Saddle Complete <br />.............. .......... <br />Service Cock <br />Servicc Dox <br />No. Hours Labor ..............................................Cost............, <br />Citt in ....................Pavemc�t....................X......._............... <br />Total <br />.:�...:,. I.' . , <br />. . ...:.. --->•, , . <br />Superintendent <br />� �/ <br />........................Sq. Ft. <br />......._ ............... �� <br />........................ �� <br />........................Sq. Ft. <br />�I ,�J . . r., , .. <br />Order P.eceived ........... .. % ; .�._....�.. ................ <br />r ---,�� <br />...... ._ ............... <br />�Vor}_ Completed:.:.�.....'.' .. .............._:...�.'.'.:..........:. ._.................._.... <br />For an <br />