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5 ; Priebelh:7dr199Ti �✓ � / � ty � v' <br />R'. U. Form J • ' - � (L• p � <br />CITX OF EVERETT--Waeer Dept. <br />A7plication No..L.�.��..-�...�I�(te._?! .......................7��.1.....19s:L� <br />� Install. .... ��.�....... inch wat�e; service pipe.,.._. l <br />- � / � , , . • /; ! <br />For .................... �._��.:!..�.:S:.i..l.c__....�',..:.!.A....+ � �•�,Ay:.,::.:::. .�. <br />, I p � „"""" <br />On........................�../..... �.....v.L.4r:: _:�<.�.J. .-...................----...... <br />Lot ..................................�.........-- -........... 3iock No................--•...._Street <br />Addition.................................... J.............`.�......................_..................... <br />Remarks .......... ,�U.a�S� ............:� :..,:��..::U�-�:r..G.:.t_............. <br />LABOR AND MATERIAL USED <br />Lead Conneclion Complete <br />Saddlc Complete <br />.........................� -----...................... .................__.... <br />...................................................... Service Cock <br />...................................................... Service Boa <br />No. Hours Labor <br />Cul in............_.....: <br />........................Sq. Ft. <br />........................ �� <br />....................x...................:.... �� <br />........................ <br />Total ........................Sq. Ft. <br />4.....�..L.. � �1 � � <br />� <br />. � <br />i <br />- � i , ..� � � , � .� <br />.......r ............................�.�...n.............:.J........�.................1................................... <br />OrderReceived ..........................................,.......�.� /!._t........................... � <br />(� ... ; � <br />\Vnrk Comp2eted...-l:'....../.......:_ ....:.....:...;.c._'.:':::.'�:�.......................... <br />� Forema� <br />