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...._ ...__ . _ _ <br /> W. U.P(OPM ]�/ zT�� � . ., ,,y�y <br /> CITY OF EVERETT--Water Dept. <br /> ' �r.e ...._:3°........._19%� <br /> Application No��,���'d ��- D t .......... j <br /> 7nsta1l........-r'..�.�.....---�---�-/'�ine'h water service pipe <br /> � ��. y .4�.2.ca-...::�Q..ft.G�.:Q_................................ <br /> For ........ ._e.. ,�.....� ....... ,/ <br /> On .........-�,�'..�-...._...Z��"..'�..�.................................... Street <br /> Lot.................�.�..`..---- -...............----- Block No............�---------.... <br /> r ....---�...................... <br /> Addition ...:.T�-r�`'`.`F�....r�..�..--a-_ .......---.�L.. <br /> � �t�v----�x�F�:s.:._....:........�..i�f:u-c—'.-........... <br /> T_iem:.rx� ........ <br /> ,�C?z�.�c.�.c..c._.............................::'......_........---...----•--••--�--...... <br /> .. .........�....t.....;�.._.o; �.av.......--...........................---•------------•-- <br /> ...... <br /> . • �Q ..............•--�--................ <br /> < < .....................---............_.. <br /> ...... .....3.�...,.._- ��' <br /> �...... <br /> +� �-.........._..---��-,l�.a�.Y3..�.:��. . <br /> ., , , .- <br /> ........ ................... . <br /> .........���,�--.��.._..-� SuPermten t <br /> ���.µ� <br /> /,r6' . .•'t, �j CU <br /> ---�.::`.•. _•� LABOft AND MATERIAL U9ED <br /> N�. � Size � _ — <br /> -- — <br /> ...........................I.......... .............. <br /> :.ead Cor.nection Complete <br /> ..................................................... <br /> �addle Complete <br /> �....ft.�........................... ...J..�-:::..:.:.r...:.................................................Yipe <br /> ................... . . <br /> - - .....:..::.............. Service Cock <br /> � ............................. <br /> • . Scrvice Box <br /> ........... <br /> Na. Hours L�bor..............................................Cost........................................s..-�Ft. <br /> Cut ?n....................Pavemcnt...................:X........................ ........................ q. <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ <br /> ........................ �� <br /> � Total ........................Sq.Ft. <br /> �=— -----'- <br /> -�-------- � - <br /> ' � � ....::..:........................................ <br /> �:..:.......... <br /> R�lnar -s.....................................:._..... <br /> ,� � <br /> ....:..:............................ <br /> _ ................._............_...............-- <br /> ....:;lz.::.................._.. <br /> ........................................................:............................ . <br /> Order 'eceived__................................................................................ .......... <br /> .: ... ...... ......... <br /> �........._........... .. ."Fore n <br /> �v�t��: ca�»ri�,ea._:�.:_:.:.:....>........_.............. <br />