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S J. PriebNM/��./ g� . . . <br />W. D. Pm+e ) <br />CITY O'F EVERETT--Water Dept. <br />/ . _ � ; <br />, <br />Application No! ._d. �.�.f.�.. Date;, .. .(... n.-----... .r.�...�...-..---19.�1 <br />) �nstall.,..1�-�...._.........inch water service pipe <br />, <br />, <br />H. -. %�i�;..'•� j . , >. •, �, <br />or .......�...:.:...._...,......._....._ _ .......... ................................::....:..........•.-�-----• <br />.. , . .,. •, r . . . <br />On ...f' .....:.................��....Q.._�:'..........L.C.�.: �:.'�f.....---------.......... Street <br />/ <br />Lot.............................................................. Block No.........--•--•-�-•--..........---... <br />Addition � <br />................ ......................�----........-- .............._.................................... <br />?iemarks ........... ......................----..............._.........................._. <br />.................... <br />A <br />._� �' :,�� } <br />r < <br />i i ` <br />LABOR AND MATERIAL 08ED <br />j�,, <br />.. .............................. <br />Superintendent <br />Lcad Connection Complete <br />Saddle Complete <br />........................................................................Pipe <br />Service Cock <br />Service Box <br />No. Iiours Labor ........:.....................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X....................... �, <br />........................ <br />....................X........................ �, <br />........................ <br />Total ........................Sq. Ft. <br />------ - - <br />Remarks...................._-................................._......................................---- - - - <br />OrderReceit�ed .............................................................................................. <br />�4 ork Comple!ed....::..7..::..:.:__-'..:' .:.:........................'..........:...: _...:.... �...... <br />Forema <br />