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1 <br /> v <br /> � <br /> R //w � � I <br /> 5.1:Priebe�M].3�LJ V � " I �'/ �[J/ <br /> W.U.Fcnn) <br /> CITY OF EVERETT-- at�r Dept '' <br /> Application No...��?.3.... Date........._.._...._�...r�.(..----...19�`.� <br /> Install ........_/.�`�....incl� water service pipe <br /> I . ,f � ; <br /> IP or -� ................1�• . ........�..d�S�:t�rt:r..�.�.'.:.:....................... <br /> � �-c-r�{?tic.-�ti-t.' . et <br /> On . ....................�yr3_ ........`1......---�� -(�� <br /> Lot................f..h.....---............................. Block No...._:3.�...i:E................. <br /> Addition .............. .......... . . .........................................----.. <br /> Remarks ............... . _ �..�.it::`.::..`.��.:... . <br /> .. ....................... <br /> . <br /> : <br /> � . ^ .......................................... <br /> ............ ..................................................................................................��----........ <br /> ............................................................................................ ............................... <br /> ........................................................................................... .. . . <br /> . .. ... . ; <br /> ��....... <br /> ................................................................................................. . �•-�t� <br /> . ................ <br /> Supe�de �� qt <br /> � 1 <br /> LABOR AND DiATER1AL USED <br /> Na. Sir.c <br /> ---- — --I---- <br /> .........................................._...._.I Lead Connection Complcle <br /> ..............._.............................._....., Saddlc Complete <br />� .......................ft............................ ........................................................................P ipe <br />� ............_....................................._ Scrvice Cocl: <br />, ..................................................... Scrvicc IIox <br /> No. liours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ........................ <br /> ,. <br /> - ., <br /> .................... ........................ ........................ <br /> ....................a........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> � -- .._-------------- <br /> � . .: r, <br /> Remarks....�...r::�..:�...........:c.................................................... ...................... <br /> t_� � r� <br /> ..........................................................................................................................'--' <br /> .............................................................................................................................. <br /> OrderReceived.............................................................._'............. ............... <br /> � �i :;' / . . r /, 1, . <br /> \t'ork Completed,.�..::.�,�.:....i�.............:.:.....: .:.:..:.._:_....._....:............. <br /> Foreman I <br /> � <br />