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i t <br /> � <br /> :, J.Priebe�M'-� 9y5 \� <br /> .:C U.Form J <br /> l <br /> ' � ,Y�F EVERETT--Water Dept. <br /> ApplicationNo...::.................... Date_..............................---..............19...... <br /> Install................................inch water service pipe <br /> For ._................._...................................- <br /> .......................................... <br /> 7 , . , __ ............ <br /> � ._ � _ ., r..................................... Street <br /> On .............:.�. ..................i..,:.,.'.:.........:...:.' <br /> Lot._..................'........................----.......... Biock No...........:..r::..i:................ <br /> Addition .._... ............_....................._........................_ <br /> ................................. <br /> Reinarks ............................ <br /> ._..._.............._...................................................... <br /> _.................................................................................. . ................._........... <br /> a� <br /> —�.....,,.__... ----•-•..__..�:__ <br /> _..........................................................----......................._..---:::.:...............---- <br /> _.. ._....................._.......................................�:...._-..................._......................_- <br /> Superintendent <br /> LABOR AND 11fATERIAL USED <br /> . ..No. j Sizc i <br /> ------ <br /> .._.......................I......................_...I Lcad Connection Complete <br /> __.............._......,...........�_.........._� Saddle.Complete <br /> /% /_-� .;.. . i / i . . <br /> ..___.�....:.......ft........,:. . . ,� , . <br /> .................� .......................::._.:.........................................Pipc <br /> ....._............................................._ Servicc Cock <br /> ._..........._..................................._. 6ervice Box <br /> i7o. Hours La6oc_........_................................Cast..................._.. <br /> ............................. <br /> Cutin.......__.........Pavemnnt..........._.._...X....................... ........._.............Sq.Ft. <br /> ....................X........................ ........................ �� <br /> ....................4........................ ., <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --- - — <br /> Remark ._ '1 — —. <br /> s.......... ... ....... .. ........... <br /> .�........,r . ..................................................... <br /> / . ....................r--... ....-� <br /> ....................... <br /> • � � � ��-�-�-�� <br /> /- ,; ,- -- ' -- ........ <br /> ..:..... .. <br /> . <br /> } r. I � . / � �1�......................: � ,r;,... _ <br /> .. ..... <br /> � , <br /> , ....�._. .� . <br /> , _.._. ............ .. ..�....:.-,:........ <br /> .....r.....:....:...:............ ......... <br /> Order Received.............................................. <br /> ..................................... ........ <br /> \;'or'.; Completed..................................................................................... .. <br /> Forema <br /> � <br />