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O. J. PPIf![�� 3 9 2 <br />w. o. ronw <br />CITY OF <br />� ' � ��� ;,I �1.. <br />EVERETT--Water Dept. <br />, ., . <br />�s��..r� <br />Application No ....................... Date...D.EG.....6.1a��......................19...... <br />Ins.a:1 ..... ......:................. .inch water service pipe <br />l. , � � i::�.:t:.:::9.�:::r . ................................... <br />For.......:.:-�.a...! ... . .....:..:.i........... � <br />7"' ��_ .; <br />� ........::........_..._.................................................. Street <br />On ............................. <br />- <br />Lot............ ............ ........................�:,, .... . Block o....;....................... ....... <br />`� �'�� .� <br />Addition ....�.�,_�"..:'�.�n...... ...P...�-:;:.' ..:...::......._..........t._..:.[�..... <br />Remarks � ..................................................... <br />..................................................... <br />� <br />� <br />............................................................................_..,_. _� SuPerintendent <br />'� <br />LAROR AND MATERIAL USED <br />:.ead Connection Complete � <br />Saddlc Complcte . �. '�� I� <br />>�. . <br />Service Cock <br />Service Box <br />� <br />.....................,...........------. <br />No. Hours La or ............................ ........................59. Ft. <br />Cutin ....................Paveni,.nt....................X........................ ,� <br />....................X........................ ........................ <br />x _--�-- ....... ........................ <br />„ <br />....................X........................ <br />........................ �� <br />Total ........................Sq. Ft. <br />-------- <br />. ..... .................................. .........', �C ......... <br />Re�naric5 ......................................... . <br />�f 1�,. n xf /-'ro:.«... 9r,v� w.>v 1' S ................ <br />...—.......,P ..................... <br />....... � ..............,....................... <br />�� ~�.. �. t..l ... ............................................................................................ / <br />. ......... <br />OrderReceiced ............................................................................................... <br />. . ..... _. <br />\Vork Completed ....................................................._...................Foreman <br />