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S.I.P:iebe{M7-:(29�5� / • • <br />W. D. Potm ) <br />CITY OF EVERETT--Water Dept. <br />ApplicahonNo../...��`I'..:�/.i/. Date.....�f:_':'.:-�.....i. ...1J:..r <br />Install ..................�..'.........inch water service pipe <br />, ................................................................... <br />�r ................................................. <br />;, :• ,��_,'.r��S <br />' � ; " .. treet <br />,. , <br />o„ ................/d.._��.....;_:t^.....::.r.......... .1:'...:.._�.�...:.......... <br />_ <br />Lot...�_..� :.................__.......................... Block No..........................-�---...._ <br />- J . ¢ rr <br />Addition �.._:�:.'.:!%.�(..-::.,'.C..C.........; %:::r ............._.............. <br />................. <br />?�emarks <br />Superintendent <br />LA'SOR AND MATEAIAL U56D • <br />No. Size '�_ -- <br />_— _—_ _ <br />....... ................... . <br />,,,,,,_.,._,,,,,......._� Lcad Connect{on Complele <br />...1� ..................................... ..,. Saddle Co�nplete p�._�,%`�"i <br />� � � � . �-�,...C<- ..............................'......... PiPe <br />............_«2.p_St...........: vf" ........ ............................ <br />......1 .................._-ij.;:...,.,..... ScrviFe Cock <br />�rrt� <br />.... .......1......... %F"x`rl..- `��uB�` d��` `. <br />� i .j, ; �rc ...`T..r.... � l f �;........ <br />�........_2...LA, j1 ;,: ' 4c�,� � .. �:.. .. ............. <br />........... . ..... / <br />' './ ' ' . J ].r la �1 - I V�-f r'.t.:...��t'.:.?�(... ......... .. <br />r <br />..............."" �'... .. . �/..l Z� : <br />� <br />' � , , . �t �.v .� ............ <br />„� . ... ............_........ <br />_,_...__" .::.:...................................... <br />P7o. Hours LaUor. <br />Cut in.__...._...._...] <br />; p J ( <br />�� <br />........................Sq. Ft. <br />........................ �� <br />� � t Tolal ._ .....................SQ. Ft. <br />_ ........._............_...._ .......................................................___..... ....................... <br />. <br />OrdcrReceived .............................................................................................. <br />\Vork Cumpleted......._ ..................................._............................Foreman... <br />