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5 J.Priebe4M1A6199�0 �v v <br />W. D. Form D <br />CITY OF EVERETT--Wat�r Dept. <br />y� -' „ r.. �, ✓ <br />Application No,�Q�. ...��.3D/ate..,F...C.�r."_:i:��.,-.._::-5�-)...--.19._:,.. <br />, , I stall.......,l...y.....,�.....inch,waterservicepipe <br />. <br />��� . ., r.� ._�( � - L n <br />For ......... �........F�..:...�:'..!,�.:........�..:.: .....:: .:...... .:.. ............ <br />On ................�..�%� ...✓�...0.2..........�J....���r`:.��..._.......... Street <br />r.�r - - - -- -� . ............. Block No..........------...............----� <br />Addition ..... , /`i <br />......... <br />Remarks ...........Y� <br />.... .................................. <br />� r:�... r <br />._,c�i u �. �1 �.. <br />•..�.�!��r...�.r.'!.'.I-i;d� . <br />, <br />_f ��`..�iu.�<<-� <br />�Fxtc,(,•lrF <br />LA! <br />No_ S�ze <br />...................... I................._......_, <br />- � �?�: l. f. i G�"7: <br />.1.� -.�........._...f....�.....--'----.... <br />... �� ................ ....:...................._. <br />C <br />, <br />..--� • --....... .. . <br />� r--- <br />/;.... � - 'f �-. <br />/1� fl�.�:..�'... .. ....tl.....,:pz�� <br />,,:�-� � 1 �,. <br />- fif <br />AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />........................................................ <br />Service Cock ' <br />Service Box <br />........................................................ <br />........................................................ <br />........................................................ <br />No. Hours Labur .............. <br />Cut in ..............._...Favemi <br />.,_ ;• f�."r."'Y�. <br />Superintendent <br />X........................ ........................Sq. Ft. <br />X........................ ........................ �� <br />X........................ ........................ .� <br />X........................ ........................ « <br />Total ' ........................Sq. Ft. <br />, �, � <br />Remarks.........::�>-� ......./.......::�t'.:;::::'...i::....._...._' .............,/........ .... <br />` r <br />............... f_��•s:y'-��"Cs'-i�._ ...:........._�_,,,...'..Z....�.�'••_..- <br />. , <br />f � �.- r - _ �..... -- <br />�� , � <br />..--�-._�..... ....- - � � .:.:...........f............. <br />_ ...... ....... t <br />.. <br />Order Fieceived � ^. ,...4;... ^ ... -"/' /� . ;.... ....� <br />. ,, . <br />�tiork Completed.:.,`.:'..... �...' .��,f .....................::.:..1._..,...._..:...:,..:.:. '�'i,, <br />Foreman - <br />