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� <br /> � <br /> � <br /> , <br /> 6 d PRIG[9 / ■�� �` � 1 <br /> W. O. IORM � � � '� <br /> C TY OF EVERETT--Water Dept. <br /> Application No.!��..:.'J.�_�^:�Date...........................�;:.;/�2'�.. 19.�?_.Z-� <br /> . ... <br /> instaL'..............._� ...Y.....inch water service pipe <br /> For ..................................................._..........................._............. ••-•---............_ <br /> .�S!.!._�....- ��.l.._�, , <br /> On .............. . .. .. . ..... �--c.:.:--................----... Street <br /> Lot...................................................._....... Blocic No.........-------...._...........---- <br /> Adciition ......................... ....................................... � <br /> .................. . <br /> �-- �.. .............. <br /> % �� <br /> �; <br /> , . , <br /> . �.:.�,..� - • <br /> Remarks _.........f. �_W�.;.�:�....�.....l.._..�::..,L�,,:::_....:t<.Z'i.::,.. <br /> ........................................---�--......................---............................----...--�---...----- � <br /> .......................................---..............................................................._............._... <br /> ........................................�-��-�- .......__.... ' <br /> ...............-----...........------r_..� .. <br /> -•-- � <br /> „ <br /> ..............................................................................................,rt/-: --�_�;,6;y,�,2.� <br /> Superintendept <br /> � �f/. 1 <br /> LAB02 AND MATERIIAL *.1SED <br /> No. Size � <br /> ..........................._......................... Lend Connection Compiete <br /> ...................................................... �addle Complete <br /> .................._...ft._......................... ........................................................................Pipe <br /> '......................................_............. Scrvice Cock <br /> ......_.............................................. Service Box ' <br /> No. Hours Labor..............................................Cast..........................---....................... <br /> Cutin....................Pavement....................Y......._............... ........................Sq.Ft. <br /> ....................X........................ .� <br /> ......._............... <br /> ....................X........................ „ <br /> ........................ <br /> ....................X........................ �� <br /> ....................... <br /> TotAI ........................Sq.Ft. <br /> Remarks............................................................................................................. <br /> ................................ ..................................................................................... <br /> OrderPeceived..........__._.._.._.........................................••--•----................. <br /> �Vorb: Completed....................................................................._.. ............... . <br /> Forema <br /> .. . _ _ .. __ ._ �wrenoRsst�re� <br />