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� <br />R'. D. I4+rm 3 IhV I I.10.:{ ' .• <br />C�TY OF EVERETT-•-Water De�t. <br />Application No. g �_�O. Datc _�I I y''._._ 192......... <br />I�nsr�.:ilp _��I i�' , inch warer servicc pipc <br />For . _ . `-�rrtv-�Xti-�1' <br />pn _ .�) l 11_"_ � �. .��� _ , .. Strcct <br />Loc_..._ ................ . _ ._._._ _._ _ Block No... . .._ t—�j'� _ <br />Addicion _ . . � <br />__ _ . . . .. ......_ _ _ _ ... ._._ ..._ _ _. <br />Remarks............._........................__ ..._.............._. ..__ _ ........ . . _ <br />__ . ............................._.............._ _ _.._._._.............._.................._......_..._. <br />_. ___.. _ _....._ <br />__.. _ _ __ _ <br />�,�.. I � / <br />__ __ <br />� s�r � �J fd-»'1/ <br />� <br />. _ . . -. . _ _ _ . . _ _ �-.: _ . - <br />1.,1I30R� AVD� liA'fEi2IdL CSliD <br />No._ . _ Si;.c � . <br />_... r ._�__ -_•__.._ _ :. <br />� �--- � � ✓ __.__. _ .. .. <br />..............!.............�,.......... _� Lead Cannection Complete ✓ <br />.........I �., �; � Saddlc Complete <br />................. . � �: �I . <br />. ...... ......._. ... <br />y ' ' <br />..........r:�...1.....it. _._..'��:,� ; .-� - ' . <br />. ......_ .....__t..'..........._ ................Pinc <br />i <br />...............1......... ........:'..-.,....... Scrcicc Cock <br />........... . <br />................�......._I........��....Q'....__ ;ervice Bor <br />.._ ...................._. i __..._...._........ . ..._...... ...._................_....................._....................._.._.........................._. <br />. _ ................... _ ... I <br />............._..._.......,...._.. _..........._ . ..._...__..._..............., . <br />i. ..._..... ._......_.........._..... _ __ _ . .... <br />--� --- — �"'-� --------� q1--7-..--�---. . . _ <br />� <br />No. FIum•s Labm� ...............5..........__.........Cost...._r..........1.,..........._..........__._.... <br />Cnt in___.���..:..�...........Pavement........._.........% ........................ .._..._....._._Sq. Ft. <br />...._........._._X.._ .................... ........... _.._... .. <br />....................5........................ ., <br />................_.. <br />.._............_..X ....................... ............__._ .. <br />Total ..............._...Si7. t'�.. <br />Rcmarks _ <br />_ . .. ..........._ _ _ _ ..... __.. .._ . <br />_ _ _ _ _........._..... _ ....... .......... .._ .._ __._.. ........__.............. <br />, .- ___ � <br />� , , � �,. �- _....... <br />Order Reccived . ... . . _. . <br />Work Complcted <br />Pcrcmnn <br />