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5.J.�riebe IM 7-i�9O��� . <br /> W.0.Form l �' <br /> CITY OF EVERETT--Water Dept. <br /> Application no...�..Q...�.�C'.I... Date.................................I��.��..19.T..�J <br /> � ' , ,, <br /> ; � Install..._�..u�.:,�...... ....inch ater sercice pipe <br /> /� , , f <br /> , �, r .i�<. � �� ' ' � � <br /> For ..._....�............. . � ', ._ . . - <br /> ........:.:............._.............:......::.•.:.................._...1..:.. �j_.:.---...................... <br /> o,� �=' U 3 J.....F�':�:::..::.«::�_c..::..a..�:.`..-.,._...—.�'. <br /> ................ Street <br /> Lot................ ................ .......................... Block No..................................... <br /> Addition .............. .. . .................._........ <br /> �............................. ..... .....................� . <br /> , , ` <br /> Remarks ........1:..P._r.�..�t....t:�......-:. ).J_.'.._'..!..:'...::._.......:..._..:.!....`---- <br /> , .........._....................................�!..........................................----........................-- <br /> ...................................... ..�j...._�.'c.... <br /> ............ <br /> ---, <br /> � � • <br /> .. .........................�---............... <br /> ..........,�................. ..:�.........�.,....:... .................................._....................... <br /> � � <br /> � .� , i � ) , , . <br /> ........r......�\....................._........................................................:....__:.----._c.:.._ <br /> ' � - Superintendent� <br /> � rn � � � ,�_J <br /> �� , d._, ��� � LABOR AND MAT.'iRIAI. USED <br /> � <br /> �.. No.° �.I 'Size _ _. <br /> —-- — <br /> .... ._�.` ._.........................I i.ead Connection ComP]ete <br /> ......................................................� Saddte Complete <br /> .......................ft............................i ................................... ....................................Pipc <br /> .................................................... Szrvicc Cock <br /> .._.................................................. Scrvicc IIox <br /> Tdo. Hours Labor..............................................Cos�..................................................... <br /> Cutin..._..._..........PavemenL........_.........X........................ ........................Sq.Ft. <br /> ....................X........................ ........................ .� <br /> ....................Y........................ ........................ �� <br /> ....................X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> _------------------- � ----- — <br /> � � . . . <br /> ReinarlCs....'�.....:s,,i.:.......�:..:..:...:... <br /> .............................................................. <br /> _......._.........�_.... ......_::�........_'............................... ..........--......................... <br /> ................... ..................................................................................................... <br /> Order P^ceived .... . ............... . f � , �, ...� <br /> ;� � .�� �/ , � � : ( <br /> \`:or�, Comple:ed._:.............�'..................... ......:.::..... ...,...(,.,..... .� <br /> ; Foreman <br />