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L J. PNIO[ �1� � � � _ "� � /// <br />W. 0. IDA1 i " ' <br />ITY OF EVERETT--Water Dept. <br />. <br />Application No.....�1 _� �f.Y D� e....... .._ ..1 F..-.G :'_...:�i.G...19..�...r.�� <br />Install.......... ��.t.�......_. 3nch water service pipe <br />_ �- / i <br />For ..........:.....:. a:c1;r..�,:�:'....<.�,�cj.'.s�..k-�-�..._�:c................_..... <br />On ..................._.....:::7...�:SJ.........:..,.�.1.:-�:r.r,.�x: Street <br />.................._ <br />Block No........_.._._.._.._........._ <br />Addition................}.......................................................... . .. . . <br />� . �. <br />Remarks • t.o �:�.:.�'..c......./1:Si'...Gt,.'.........:�1�........----•-- <br />.................. <br />..........._ .� _ .. . . <br />..........................................................e.l..(...:V..Gt..-s. :�.. �.................._......_.. <br />...:..................... ..... ..J.L:I.�. . .. . . ............... <br />j . . ................. . .... . ...... <br />�!- �,(J•lJ. , , <br />✓ <br />....... .... . ................. .�.^... �" ."�.�......_........................""""""'""1.'""'""'""'...:..... . . � � �' <br />� ✓ � � " Superintendent � �� <br />LASOR AND MATERIAL II9SD <br />No. I Size i � <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Servicc Box <br />No. Hours <br />Cat in....... <br />........................Sq. Ft. <br />.... ....... ........................ <br />� Total ........................Sq. Ft. <br />----- --- — _ <br />Remarks .......................�. �:._!..:...:.....:.:...:....:;::......1..::�.:.:�.:�.>:.._�.....c.u�... <br />OrderPeceived ..................................................................................... ......... <br />\4ork Camt;leled.::� ..:.:..:...::.:.:t._:.......................r.'_�....:...::..:.:._..�:.. ..... <br />Forema <br />