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-• • 2� ... �l) - �"� J <br />y. J. PRI[ea ' <br />W. O. IOPM ]/ � . � . <br />CITY OF EVERETT--Water Dept. <br />, t� , r� .....ts...... <br />> �a�, ............. <br />ppplication No...._`....'..'...::'...'. Date........;:i�....... <br />Install ...........::..................inch water service pipe <br />� . . �" � ................................. <br />.. �........ '.-:::....._. <br />�. ...!._:.._._`....;.:.(......:.... ':... ` <br />For ..._<...._. ; � -' <br />� Stree <br />On .......1:...:....:.!...:....:;::.�_!:.u:...�:..�....l.:...... .... <br />........................... <br />Lot.............................................................. Block No..................................... <br />... .............. <br />................................................. <br />;+ddiUon .......,,.:� �� r c <br />..................... <br />::./ . <br />Remarks........�.r..._ ...........:......................................................... <br />-� i -- (, •-- ........................ <br />� ............ ............................. <br />11.-..,.., ......... ......... <br />.................. .............................. <br />� <br />................ _ ... _ <br />.:.:l...j .................................... <br />���-���""'�""""'�� Supc.intendent <br />_........... _ ........... .................. ....... ; <br />ypgOR AND MA7'ERIAL ilSED <br />�- r �t„ , <br />--- <br />cad Cnnnection Compl , � <br />.................. ... , <br />. � Saddle ComP?ete + .. p� ......:.......PiPe <br />......... ............ . <br />. ..._ ................ <br />..............._...... Scrvicc Cock <br />..._._ ............... Servicc Box <br />.............................. <br />..................................... <br />.._. .............. <br />No. Hours Labor ......................................__ ..... ........................."i9.Ft. <br />Cut in... _............_Pavemcnt....__............X.._............ ......._..........._.. ,� <br />. ....................k........................ ,� <br />....................... <br />...................X....................... �� <br />....... _...........X ... .................... <br />........................ <br />Total _ -Sq.F:. <br />..................... <br />t. <br />Re�narks...... r�.....y..... <br />__ .............. ...... ... <br />... c Q' <br />� <br />.- <br />...... . / <br />Order Recci.•ed ........................_ ......._.................................................._... <br />_ _...... .. <br />Fareman <br />\Vo:k Complcled ......................................_......................._........... <br />