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/ `f' Zx� 3 /A'', �� � <br /> w. o. ronMb-� " � /� <br /> CITY OF EVERETT--Water Dept. <br /> Application No��'-�'n=�.. Date.......n:��R..l.....1�02..................19...... <br /> 7nsta1l......... . . inch water service pipe <br /> %' _ -�„�. '............ <br /> G �... � . .. .. <br /> For ... .G_�`..�:Gra:.2_f, /.............:�Z::...�:2c�: ................................ <br /> �J��.�...'-...`7�:'"�'....................................................... Street <br /> On ......... .. <br /> Lot.............................................................. Bloc:c No..................................... <br /> :lddition ........................................................................................................�- <br /> Remarks """'""""' <br /> ........................................................................................... <br /> .....................................................................................................................•----• <br /> ........................................................ ............................................................. <br /> .................................................._.............................--•--.......................---...---- <br /> ........................................................................................................................... <br /> :luperintendent <br /> LABOft AND MATERT 1L USED <br /> S'Izr I — <br /> ._--- �---'-�" <br /> .............o..... <br /> ...................__..........I :.ead Connection Complete <br /> ................. . ............................... Saddlc Completc <br /> .......................ft............................ ................................................._......................Pipe <br /> ......................... Service Cock <br /> ............................ . <br /> ............................ <br /> ................:......... `:ercice Box <br /> ..... <br /> No. Hours Labar............................................. o ............. <br /> .................................. <br /> . ........................54.Ft. <br /> Cut in....................Pavemcnt....................X........................ <br /> ....................X........................ ........................ <br /> �. <br /> ....................X........................ ........................ <br /> �� <br /> ...................X........................ ........................ <br /> �� <br /> Total .. ..................Sq.Ft. <br /> ---- <br /> - ............................................................ <br /> Remarks................................................ <br /> ................ ................................................................. . ....................... <br /> - <br /> ................................:.... ........................................................................�........ <br /> Order Receiced......._... .........................._........._ <br /> ..................................�... <br /> \Vork Completed............................................................__..........Foremari:.. <br /> i <br />