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ti J Prirbe�M'1�� <br />Z 5 �' <br />`dC �D. Form ) . <br />'CIT`Y O'F EVERETT--Water Dept. <br />� h � �/ . <br />Application No,.l�: �✓' Date........�..-:.....�.%:.:.........19�.'� <br />Install.....��7.-��--�--�- -'nch water service pipe <br />..... <br />For ....................... .. ... ................ .... ................................• -............. <br />. .. . .. .. . � . <br />..��..il.X.. ..T1.:.r._�...tzt..,^...}_5:.--......_... Strect <br />On ................. <br />....... .. <br />r <br />Lot............................��1...._����..................... Block No...._..��....�.`.�....................... <br />Addition ..............._r.--.............................__.... <br />............................. <br />' ' .,. _c .......--�-- <br />Remarks <br />.................... C:.?._.7....:t_�__'....._._......_. --............. <br />� �..,:.......t...._�r .............. ..... <br />..................... ... <br />... . <br />.... ...... <br />.'i:J 7:i...... .:/�!!._1:....:ti.::11 �.........._d.i.'...'..5 .............. <br />.......................... .. <br />............... . C.. . :'..... �......... _........................... <br />......_. <br />.... <br />.... _._ .............._.......__. . <br />�.'�' i . . . . . . ... <br />' . t � � :. <br />. ............./........... <br />................................... . . � - <br />..............._................_...._..'...._"' ' c : SuPerintendent <br />,! . �1.. - <br />LABOR A`ID MATERIAL U8 Il <br />No. �ize _ <br />—_— __ <br />..................._....I,_.._.�._... _._._._�� <br />Lca� Connection Complete <br />Saddle Completc <br />.................................. <br />......... Pi pe <br />ucrvicc Cork <br />Service IIux <br />.......................... � .._.... ..... <br />_............ _... _ _ .. <br />.............. <br />....... _ _ ............................ _........... <br />................ _........ _................ _........... <br />........� ..............---- <br />Vo. Hours LaUor..._.....__ ...................__...... ............... S Ft. <br />9� <br />Cut in._....___..._.Pavemenl_ ..................X......................_ �� <br />....._......_... _X ........................ ........................ <br />.Z ........................ <br />........................ .� <br />.................... ,� <br />....__...._...._X .............._....... ........................ <br />Total ......._............_ �Q. Ft. <br />/ <br />............................................... <br />.-_.... _ .......................... _. _.... _ _... _......... <br />_..._.____.._. .___....._.......... ; <br />� �..... ....'..; � �............ <br />_.........;.r..., , <br />.. ..................... •. <br />......._............_. _ � r <br />Order Rcceieed_..._......._ ...........L./...�...'....:.'....:.;�..�....i...:._:..._...:�.«-........� <br />Y ��..-.'�t . ...... ... .. . .. ._. . .. . Foreeiar: % <br />\'� ork Complcted_ ...'. ... <br />