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S 1.Pri�M4M/.1�)��/ • . . <br />W. U. Fmm ] <br />� ' CITY OF EVERETT--Water Dept. <br />A lication No..:: �"S- 5 _ �` % • ; <br />PP ........_:....! Date....L.....:_:-:-' :..::................19� :� <br />Install ................................inch �c.�ter service pipe <br />For....................................................................:...:..........._...:........... <br />. ............. <br />✓c1' �; � " � - �1<.�.,., . . , ,. <br />On .......:...........................:....................Y.......:.:1.:.............:.;.....:._:::�3treet <br />.� , " <br />Lot.....r....� .............�:::_�:..................--•.:.. Sloc�c No................----................. <br />., . ...� . r, ; <br />Addition ' ' % � ' <br />.................::.`:.S:f r.::.._:..........'_�.........................::__................. <br />Remarks..........................................................................�--......---.................... <br />�� SuperantendenL <br />id: <br />LABOR AND <br />...................................................... Lead Connection Complete <br />� . . Sad�le � mplete ��,�_. � . f, � , � <br />......� ...........................� . ,.......... � <br />.1 P tt......... �.,�_,� ........ .....::J..�!...:tc:....................................... d Pipe <br />............ .......... ...... <br />................)........ ....`..:./�._....... S�rvxfe Cock <br />............ � ............. _....r:....^..___.... Serv�ice �ox . <br />- <br />l::r.:�:...._......... ' %_�.. �.:(:. �'.. ....=:'.. ��_� :.::.:...::::.. �..�.�1s.:�.S.:..::...................._............................. <br />� 7 .�� , �. ��_. '1 r <� � . <br />......................... ................. ....................................._:.. <br />f ................ <br />i �� ., C�� v (u c.- Y<, `. t.-,�, r(i..,.� ...................................... <br />_ _ ........................ .,......___....... .......... _..�,I{............/� I...._.. ...............:......___... ... .............. <br />J' Yi� .J. 1 j� �A 1-F(��l.�1�.........'1�:,'._}.�'i�u./� �. <br />........................... .....�,rF�............... . 5...:......_:.. _......:: ...................... . .............. <br />� <br />No. Ilours Labar ......................................... �:.Cost....%..vZ,7................................... <br />Cut in ....................Pavement....................X...._.................. ... q. Ft. � <br />..................... S <br />I....................X........................ ........................ �� <br />.;i e.u.: r�� ....................X........................ ........................ ,. <br />-'?��LL � f.� ....................X........_.............. ......_................ „ <br />'fotal ........................Sq. Ft. <br />— - --- --- <br />---- --- <br />Re m a r k s..... _ ...... _ . _ .... ........ ....................... _.............................................. _.. <br />.................................................... ........................................................ <br />OrderReccived .................................................................................. ......... <br />\1'ork Cumplcted ............._....................................................................... <br />Forema <br />