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5./J. PRI[Be ]M � <br />w. !�. FORM .l <br />CITY OF ' EV ERETT--Water Dept. <br />'' <br />Application No ........................ ate... �� [ �L .......19...... <br />Install ... .......... .ln wale s mice pipe <br />n <br />For ........��.�,.2......�..,�c/1�.�.E........ <br />=• <.tt.� , <br />T Street <br />i.ot.............. ............. 1.�-............................ Block No.........7....................... <br />Addition ..................................... <br />.................................................................... <br />Remarks n................. - ............ -- c <br />...................................................................................................................... <br />.mac, <br />, u e inte e 1 <br />LABOR AND MATERIAL USED <br />No. Size — <br />........................... . <br />.•_ ...............I :.cad Connection Complete <br />.................................................... Saddle Complete <br />i r` ar <br />...........................Pipe <br />............._.....1.........•'. ..`i............. ServicEr6ock <br />................................................... Service Box <br />No. Hours Labor..............................................Cost................................................... <br />Cut331........... ..:......1'aVCR1Cnt................... .X........................ ......................Sq. Ft. <br />rX........................ <br />.................... X........................ ........................ u <br />r.. <br />Total ........................Sq. Ft. <br />Remarks........................._L.,.c...:r:lfL..a........:....... ._:.................................... <br />... <br />C ,� <br />L' ....: i:S.na...... i..::.:.:..:. ...........:.................. <br />.................................................. <br />...... <br />Order Received....................................................................->, ................... <br />\4orl: Completed. !=..7S.-(r.7........... ; '---. Foreman <br />