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�2 31 � s'' <br /> S.'J.Priebe4iA7•162&5f , •P O t. <br /> W.U.Form) ' <br /> CITY OF EVERETT--Water Dept. <br /> ., _ <br /> Application No..`.�...:::.:/_C�.. D�te.........:....---..............-----........19.:`.:..- <br /> Install..........,�.....:.............inch water service pipe <br /> For ....................... ...........................•--............................:............................... <br /> On .............::... "__ :......:.:... Street <br /> _.............----........................................---� <br /> ?,oL.............................................................. Block No........_........................... <br /> Addition .......................................................................................................... <br /> Remarl-s ...t...............:..:.:...........:...:......................................_....................--- <br /> ............................:............................................................................................ <br /> .....................................................................................:.........._.....................----•- <br /> , <br /> ............................................................................................ ..:....................�-•-- <br /> � � �Superintendent <br /> LABOR AND MATEAIAL USED <br /> No. _� Size <br /> .............................__.................._'I Lcad Connwlion Complete <br /> ............. .......................................� Saddle Complete <br /> / . •• . •'�n, a.'.:.��..:......................_.......PiPe <br /> .......l.z........ft............ .e...... ....... <br /> /y...;..:.. <br /> ^ ........... .�._.........._........_.�,...... �ervicc ac <br /> ..................................................... Sr.c�:cc Box <br /> � '' � Gt,oC.��,��.r_ • �� <br /> ._......_�....................19................ .... ........._ � ..-'_......................... � r <br /> �.................._...../_'...... ..c.�A�1..t�9..r....�.r..�..._��?:_�.�.._.-...'_�.�..':_.:........_........... <br /> .......................................... I .. .......r......�................_.............................................._.......................... <br /> .......................... ......... <br /> ,3 �J 3�/ <br /> No. Hours L�Uor..............................................Cost...........:........................................ <br /> Cutin....................Pavement....................X........................ ........................Sq.Fl. <br /> ....X........................ ,� <br /> :G'} .r'�'. ....................X........................ .....__......_....... �� <br /> �.r <-�' � ��f9 ,. <br /> ...................X........................ ..... �� -........... <br /> ,�� • Total .........._............Sq.Ft. <br /> Remarks............................................ ........................................................... <br /> ............................................................................................................................. <br /> ............................................................................................................................. <br /> OrderReceived............................................................................................ <br /> \�iork Completed............::.�./..1....,�.7.'.1_...............'.,..:.�......�:. :.t..:..:_:..'.. // <br /> Foreman / <br />