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<br /> 5.J.Priehe�M7-4 9
<br /> W.D.Porm 3
<br /> CITY OF EVERETT--Water Dept.
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<br /> Application No�:._::"..f.::.... Date...:.....:....:....::::`J...`........---19.�. �
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<br /> �Install.....,.;.-.:1.U...............inch water service pipe
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<br /> Lot....................................................::�--.. Block No...._--.._.........-•-----•--......
<br /> Addition .....................................................:......�--�-�---................--�-----.....-�---•-�
<br /> Remarks ......._....................................:.:......_•_-_.....----...��..............;.......}.
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<br /> `„�� a' �� r � � �� , \� S�perintendent _
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<br /> �`_ LABOft AND MATERIAL IISED '
<br /> No. Size I
<br /> .............�,.,,_..,........._�,�.:.'........... Lead Connection Complete
<br /> ..................................................... Snddle�Ple
<br /> ........�.�.2.......ft.. :1' ., ................s,�-..............:...................................Pipe
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<br /> ................�..................... �/,�.�... Ser��Cock
<br /> � �....�............ . Box a.�.c�n n:,
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<br /> 3 �� � . f..:.... ................ � .............
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<br /> .................t.................... C'._..�. . ......�..,.,�-.......�-..........:J.:.............................
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<br /> ................c..........���................ -�..............C�.a-�.<�.......-,:��..:.........._...................................
<br /> ........................ ...... .................. .............................
<br /> No. Hours Labor................................./._!Q....C�.a?.`.f:.�_�................................
<br /> Cutin....................Paver.�ent....................X........................ ........................54.Ft.
<br /> ....X........................ ��
<br /> �,a,� � ...................X........................ -....................... ,.
<br /> - ................ ........................
<br /> 7 � �� ....................x........................ ........................ .,
<br /> Total ........................Sq.Ft.
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<br /> i;ema rks.. ..... .............................................................................................
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<br /> ................................................................................. • .........................---..........
<br /> OrderFFeceived.................................................................................�--�--.........
<br /> �`,'ork Completed...................................................................... ................. •
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