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5. J. PNIEBE ZM/ O� O O + l, [.. . <br />w: n. roaw a ' � � <br />. �_ , CITY OF EVERETT-�Water Dept. <br />Application No.�d. �-� a 0 D• te. ...:��...-.........��---..---...19�t� <br />Iastall..... �,�`�..�..�............inch water service pipe <br />For........ ............... .........L... ...........-------.... .:............/...� ...--....... <br />o:, y <br />....................�....4...Y........�C..: . .:f._!.,�::(............_..... Street <br />iot..........................................�................ Block No...........-----........-�---........ <br />��ic?ition ................�:i...................... � <br />remarks ........._........�.G�-?�c.c��i-F.�:�........._��::o.cf.:���.�....... <br />................. .............��. .. l-i-y.�. e C�� �:_?_�!'..:2Q:' •----...... <br />... . . .... ......... . ..... <br />...._ . . <br />r�_ //�. <br />` —: f"�'i.ti, ./ .��—i'.1..� <br />if n /1 <br />............................... .. b%�r��.,,�. <br />.............. ... .._.....`.............-�u.._-----�----�--- <br />i�l-� , : perintendent <br />------- — / �—~ � — <br />LABOR AND D:.►TER7AL USED . <br />No. I Size <br />......................1... <br />Lead Connection Complete <br />�addle Complete <br />� <br />� ' •- <br />... ;..:.1 �_ .................: :................... <br />Service Cock <br />Scrvice Box <br />No. Aours Labor ..............................................Cost.................................................... <br />Ciit in..._ ...............Pavc:nent....................X........................ ......................_Sq. Ft. <br />> .. ., <br />;.... ...................X....---.............. . �� <br />�� _';v:'; "', r,.::,., . ....................... <br />...................X........................ �� <br />................. <br />v ,� <br />Total _ ........................Sq. Ft. <br />P�e�nzrics. <br />. .. ...... ........_.........................-- ------- -- ............ <br />prdet'eccived ....................._...............--............... <br />�Vork Complc.ed..!/..-.�...:'. - <br />' ...:..�� .................... <br />� <br />. <br />__:.:: :.---' � <br />Foreman <br />