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5 1.Priebe�M i.1�55/ / • • _- <br /> 0l.U.Form: - • - <br /> � °�' CITY GF EVERETT--Water Dept. <br /> Application ATo....:.�.:�:`1_��... Date....._ _ ...:..........---•--....._. <br /> --..19:•:-_ <br /> Install.......1::,�._7....._.......inch water service pipe <br /> / <br /> For .._.....-.... ...................._....................._ <br /> ............ .................................... <br /> On ......:........�....:_.... ' ......:........._....._. .......... Street <br /> ......_.. ................._. <br /> Lot. .....................................................`.... Block No........_.....-�-----..........._. <br /> Addition .....................•--- -........................_......... ......_............._........_.. <br /> Remarks ._...1.-'—'•----- ---............:.......::............._......_.t.... ! <br /> r i_ ... -..._:..........:.� ., <br /> ,. .... <br /> �i .................................1� 4 <br /> . .�.�.......................... .. .............................�........ ' . <br /> ^ � i <br /> ��.1......... . ... ....... ........ <br /> . / �,µ{ . ..�....................................................... ..• <br /> � .'�'�..-.f._ "..1.._.._....'"__�•.��.........l...1................................. _ .. <br /> ., <br /> _ � ..."".. ........... _"' <br /> . � � /, <br /> /��.+�.... ..k�.. .....'..l � ..1...�_::. ,.......................""'"'....._:�._....'.�..�..�_""".....�� ."' <br /> , t. ' � Superintendrnt <br /> � <br /> �� � ` LABOR AND MATERIAL QSED <br /> � �'� <br /> _ o. _� Size <br /> �- -- <br /> ......................................................i Lead Connection Complele <br /> ....................................... Saddlc Cnmpletc <br /> ' ft.. :._�.:l.w::.::r..........._ .. <br /> ............ <br /> .....r°G::�._...._ <br /> ........ ..�..._ . . ._......................Pipe <br /> -................................................... Servicc Cock <br /> ...................................................... Servicc IIux <br /> Nu. Ilou:s Labor..............................................Cost.................................................... <br /> �Cut in....................P�vemenl....................X........................ ........................Sq.Ft. <br /> S �"� ,� <br /> w . . , r, ....................X...._..............._' <br /> ........................ <br /> � �-- ���� .� <br /> : ....................X.................._... ........................ <br /> _, _., _. <br /> � , . - ' �� <br /> , -" .. - �. _ .................... ................'--`-- <br /> � .. ,. ._..................... <br /> :._ <br /> � 1 �i i �i Total ......................_S9.Ft. <br /> -� Retnarks�.... <br /> ....................................................................... ...................... <br /> _.........._....._...................................._............................_............ --.....t........ - <br /> ........... ....................................................................................................... <br /> OrderRcceived....................--................................................................_.... <br /> 1Ccrk Complct¢dx.`..�:..�"..:....::.:... -' � ��`.A_.::.c...;.:..- <br /> .. r......._......:.{-Y',.-..»... <br /> Foreman <br />