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�J...I. PA".�Cl. I � �,� � �m� r <br />"/• t>. �ORM p <br />CITY OF EVERETT.-Water <br />�L��(, <br />Dept. <br />App]ication Nol:���..-'.... Date...........�!.;_.� :..:�:� ................19:'% i <br />Iastall......: �i�_ ............ .inch water service pipe <br />P, `'- �, - <br />or ......././„_c�....���LG ........................................................ ........... <br />On .....,:.��n..�. � �k <br />... ........._ ............................... ........................ Street <br />Lot .....................�1.....�: ................... Block No..............-:'-:............. <br />��� c.�... :.z� .:......................_,............_....................... <br />Addition _........... ' 1 , <br />Remarks / <br />, ...y:�GLG...�l+C_...LLi.:c......_.......:%/ •.GvZ.!Aa� .............. <br />//y� � � � � ......... <br />._�`=..`*��,.!.LF4'.�,1........"" ......................................l... <br />/ ................._............_..""___ <br />._"'" .......... ..........................._........._......................... <br />r. ' /; . <br />...................r.....�..`...�....-';ij �P - ��7 f,�-�J..................................._............ <br />� , .,i�;�� . ft �-, <br />......,:. '1 .Ty�� ........................�_''rt-.�'.-.. �.�.../.l'..%.'�..—�`- � <br />�G " ,. Superintendent .� <br />_—_ .;..i : ..' � � 5 » c�, <br />-%F:._____ :_�' ._ ___' <br />�l1BOR ASVD hiATERTAL USED <br />No. Hours <br />Cut in....... <br />Lcad Connection Complete <br />Saddlc Complete <br />, i, . <br />...1. �• .......:.::..:............_................ <br />5crvfce Cock <br />S21'JICC BOX <br />._ _. _...� .......................n.............. ........................Sq. Pt. <br />.-- <br />. . . . ....................X........................ <br />........................ .� <br />.............................................. ........................ �� <br />Total ........................Sq. Ft. <br />-- <br />Remarks._ .....................1:...,� �.t..,......:._,....::.:..:. _— <br />........................... .................. <br />- .. . _ ............. .................... _..... <br />Order Received ............................. <br />.................. ................................. <br />— ..... <br />\b'ork Completed .::.......::................................. �., <br />....... _ ....... _. _..... ..... .. <br />Foreman <br />