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SJ.PriebelM7Ab.9� ' \O � <br /> W.U.Farm) <br /> CITY •JF -EVERETT--Water Dept. <br /> ApplicationNo...�i�.4�..... Date......._.:.-..........�.-:.... ...........19.�� <br /> Ir.�stall.._..�.'�..J=t:.................inch water service pipe <br /> � - <br /> Fcr .................................. ...--• --^^`::�......_.,.......... .......................... <br /> .. <br /> > „ <br /> On .............�..l.._..3/ _ ............5�..�.../....�..�...� '......�..:.,�:... Street <br /> 7 �"� /.U.._....... Block No..............�---����-�_ <br /> Lot............`........__............... •� --- <br /> Addition ....................................................................................�--.................. <br /> Remarks .....----...._.................... <br /> ........ ......_.................u,....Jy1�+./�.........�1 1"1..!e.-....... � ��1�L.:...ry�.�.�. <br /> / <br /> ...�.v. .....�.... . '..1... .... ..... � <br /> ....r� <br /> i <br /> � .. ��.... . <br /> �y 1 <br /> . a ��1�.Fm:....... ��.. �.. % '._ <br /> . • �.1..._. <br /> ...................... . .......... �..._��...[....................1::.........'_�" <br /> � .� / ; .? � _ ��.)....... " • - � i . <br /> ..... .......................:............ 7 <br /> �� 4Ty.....�....�. . , <br /> � % ^r' � ) � -� . <br /> ; ..�. .� .-� ....Y.=.. � �.: '.. )� <br /> .. <br /> . .............. ... ...u................................... . ......"'" '".........."""'"".............. <br /> � �." � ' , .,� �- Superintendent <br /> LABOR ArD :tATER1AL USED <br /> No_ S'�e � ' � <br /> -- —�� �I-'--.-- <br /> ......................_.-..\.n.. .._... ...I Lcad Connection Completc <br /> ..._--.......'..........�_.,... ':,...,... :.'adule Complete <br /> ......._..._.�._�,_......\`.....:..-'..� ...� ...__........._.....................................................Pipe <br /> . <br /> ............. .r..... .._i...... . <br /> .�.:..._:....;...._ s������ co�k 3 r'r` <br /> .............,.. I U � <br /> �� G �CLVIC^ SO% I • <br /> _.. � <br /> ..................................................... .............................. . ..�....0.....�..................._................................... <br /> Tio. }Iours Labor..._........................................Cost.................................................... <br /> Culin..._...............Pavem�nt....................X...................._... ........................Sq.Ft. <br /> . �� <br /> .....................{........................ ........................ <br /> . �, <br /> ....................?......................... ........................ <br /> ....................X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> --- ----------- <br /> Remar�cs .................................................._....._.._...._.................................... <br /> ..........._... .............................._.........................._...................................... <br /> ... ....................................................................................................................... <br /> OrderReccived............................_... � .................._............_.....--..........._... <br /> \;ork Cmn�>leted......................_....................................._............................. <br /> Foreman / <br />