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_ . , . , - i <br /> ' W.U.Form D 10(O 5.1-2n • <br /> CITY OF EVERETT-••Water Dept. <br /> Application No.....9.0_'I�..... Datc__._..._ _g/'2j _....._.19 .. <br /> -/ lnst�ll _.�F{ inch watcr serv�cc pipc <br /> For_...._ll . � . .. ......__ <br /> _. <br /> On.__ /(o.0 9--................._ _._. ___— _.__.Strect <br /> _ ... .. <br /> Lot..__._.__..._....5._.....___..._.._._Block No. _ ._ ___.. ......._ _... <br /> Addition _.: _ __...____.............. .._..._ ._._... <br /> __ _ _..._ <br /> Remarks __.. _._.... ._ _. .__ ._.__...._.. <br /> _._ _. ...._......_.._ _ .. _ <br /> _ _......---. _ _ ..._. _ .... <br /> _.. .. _._.... <br /> _ __ . _ __..__ ...... . ...______ _...._ _.. <br /> ..._...... ._ _._. .._.. <br /> _.._ _. ... .. _.._ <br /> _c -�,_ic�-e-�. r <br /> s� r,�,.��-Q-� <br /> � <br /> _ - _ .. -____ _. _ - _ -- <br /> � - LABOR AND MATEAIAL USED <br /> ' - -- <br /> _ No. Si:c— li____. . ___---_—._— _ - . . <br /> . .., Lend C�tnnectlon Complerc �� <br /> ._ � ...__.��i X ����_. � SaJdlc �pmpletc ��'u� <br /> � " A ,/�" <br /> , '�' �:-�/v/�*�._.�'�P� , <br /> � ... IL'�_...... �-._.. __.._._ . ....." / / <br /> __._./. ......_I_.__'.��'f. . ScrciccCock <br /> � � C � � Screire Ik�: <br /> ._...__.__ �. , <br /> . ..__.. __._. _... _...__.._....._.... <br /> _.... <br /> _. . . <br /> . . - ...__ _._ ... <br /> _ <br /> � ... .. _. _._. _... <br /> . .. ... �. _ .. il __ . _ . . <br /> . . ... . ... i .. <br /> __` <br /> _ �o — —_ _' <br /> '�o Huurs Laboi._ g ._.. __ . ..Cou .5�. ... . _...._ . . <br /> _. <br /> Cut in ._.._.. Pavcment X ....._ .... ......_._._..........Sq. Ft. <br /> .. ........_......_ <br /> ., <br /> . . ._....X-....... . _. ..__. ... _._._. <br /> .._....___._.X...... ..__._ .._. ....___ .... <br /> .. <br /> X <br /> Totel _ ...__.......59. Pt. <br /> . . . . _—'_'_-.- <br /> Rimarks Matert�l $i192Ie�1k-�,-�"-""��.._.. _._ _._ <br /> __......_.. .......... . ____....... _.. .______. ..... _ ..__ .. ......---- i <br /> ._._.. <br /> _. ...._ <br /> _...._ _. ... _--.... I <br /> Ordcr Rcccivcd `r' - . r. L._ _ •' ' _ <br /> _ _ <br /> Nurk Completcd .__ .:... __.=+.:� ............_....T,`,... . _........._..... __.. <br /> Fonm�n <br />