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. J. PNI[hr�ll1 � � � , • <br />w. o. rnnrn _ <br />CITY OF EVERETT--Water Dept. <br />_. <br />/97 � �'�!� ; �:='--...is.::''�''� <br />Application No.......lf �.../-�� Date .................: .:......,.f. .... <br />7nstall....--• .�' --� h Wazer ser�ice pipe <br />............ .... <br />� �} �� <br />� �� c ...,.-<.t:t.n.>�..::...k�..� ..............:....... <br />For ...�'.f?.1.c�z ;u�..:r.r.�...:...: � � <br />e 3 f�� �' .....:.......1._�..... ..-._--...............------..... Street <br />on............................ . <br />L a t ................................................. <br />............. Block No............._._.................. <br />Adiiition.............................................................................�......................... I <br />� � �� /J'�E:.c�i �.....� :2.h.�:�_u� <br />Remarks .�. .�.. �'r . . ............. <br />-•------ <br />� <br />�,�►IIpg AND ➢tATERIt1L IISED <br />5 <br />..... .. <br />' - % L�N�� <br />...... <br />.....:� :........:.... � C' <br />Superintendent :� <br />No�__ _.---o"c --'-- <br />i <br />' :.ea3 Connection Comp ete <br />............................................ �ddlr CemPlete . <br />_........ .� <br />........................:. n , �. �.': r_ � ........_....._....... F <br />,.. � ' �... 5.:.�..........._..._ ......:..:.:::.:.... <br />Pi e <br />, ,.-.,.',.,./... ' <br />..> <br />._>:'..l...dt..at.. ... •; � ._ <br />� � '> Serv�ce Cocl: <br />�s,S.uuG _ <br />._L....:?.� �._ _ <br />.,__...... ervice Sox <br />..................._..-_ _. <br />No. Hours a or ................. ........................Sq. . <br />Cut iii..........._.......Pavement ....................X..._........__..... ......._............... �� <br />.................... �� <br />v._ ...... ........................ <br />7C........................ ........................ <br />Total ........................Sq. Ft. <br />----_ <br />: ..... <br />.............................................. <br />....... t : :......:.:..:..t. �::.t........................1.............. <br />......................................................... <br />................................................ .\ ............. <br />Order Peceive3 .................................................../Z)..�... <br />........... ....................... <br />. ...........r::'_,._.,.���. ;.:�s,� ..:............._. <br />1Vork Completed_E..:. a.:..._:.:...'? Foreman <br />