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. <br />��� <br />4 �. �. ��a� ,� <br />/3266 ., v <br />w. n. rvn.. o <br />CITY OF EVERETT--Water llept. <br />��:cr ,� ,�� <br />:, : <br />Application No.... ...._. __.. � V Date ............ . .19....-- <br />..... <br />I:istall ..............................inch water service pipe <br />F�r ...................... � �- <br />...................... .............................. <br />..- <br />S�� � �i'... �.�i�I�lCl.rf,?��, .................. Street <br />On.....: :......... ......_. <br />L,ot ............................................................. Block No..................................... <br />:lridition ............................_......................................_.............................._... <br />Remarks.............................._............................................._..........................-- <br />........................................................................................................................... <br />_ ..............._..................._...._..................._........_........................................... <br />.. _ ..........................................................._......................................................_..... <br />_. _.... ... _ .................._...__... ................................. <br />..---..... ................... _....... <br />Superint�ndent <br />1,pBOR AND MATF.RIAL USED _ <br />No. 'i Size � __— —_ —__—. _ <br />___._. _. _ --r_—____ <br />- ._. <br />I ' i.cad Cnnnectiun Complete <br />_ .. ..........._......_ ..............._......__� <br />� .� F. cidlc Complelc <br />._._._ ............................................I - <br />..[l.. .. ....Pipc <br />. _......._.._._ .........................._....... <br />. _ .................. <br />..................... . <br />.................__..._�I Scrvicc Coc6 <br />. _..........._........_. . <br />......................_ _.............. <br />.__.._� Su-�icc Bnx <br />.... ...... ..... <br />� . . . . .. _ .. . .. ... <br />_ <br />. ... .............Cost.... _................................. ....... _... <br />No. I{ours Labor__...._._. .......... . ' <br />. _ _...._ X ........................ ...................... .Sq. Fl. <br />Cut in.._.__... _.__Facemm�l .._... . <br />........._._..... X.._ .................... ......._............... <br />................... X_...................... .....___........._.. <br />�� <br />....................X........... .. ....._... .... _.......... <br />_ _ �� <br />Total ..................._..Sq. Ft. <br />----_ _ _— ._._—'--__—_--------_'----- <br />Remarks__..._ .__............_........--....._.__._._ ............................._... <br />.._......_.. <br />_............__ ....__._ ...................... ._.......__......._.__........... ... .. <br />_ ._ ............... ......__......................................,........................... <br />. ............. <br />___ __�' <br />Order Recciced___......_ _.._....__....._._ ................. <br />\Vork Comp}^tcd...._... _____..._ _.._ .......... <br />_ _.. .. _. ... ..... <br />F'ureman <br />� <br />