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"V. ri. Form 3 640 349 <br />9 F <br />S. J. Priebe <br />CITY 'OFEVERETT-- Water Dept. <br />Application No------------- Date.-- -----------------19.11V <br />Install ------------------ inch water service pipe <br />For------ ---- ------ --- — — ----- <br />t <br />On _ �� r •----- ---- -- ...—_-Street <br />Lot. F ---•----- Block No ...... <br />='-------- <br />Addition -------- ------ - ------ ----- ---- <br />Remarks_.- ---- —---------- --- ------------------- <br />--- --•-- -•------- - ----- - ----— - — -- -- - - --- — ----------------- <br />/ --- ' — --------- - ------ ------ <br />,I i /� Sup^rincudent <br />LABOR AND MATERIAL ItSED <br />No. <br />Size <br />_______________ <br />__3__---------- <br />Lead Connection Complete <br />(.-------- <br />.1(._t!.-6 ._ <br />Saddle omplete <br />— <br />- Pi c <br />------- <br />--------3, <br />Service Cock r <br />___________ ___ <br />--- ___......... <br />9/ n <br />Service Box <br />Y <br />No. Hours Labor. ---------------- Jt? Cost_./_D. Af ------------------ .__...-- <br />Cutin------------ Pavement .__--.e?6-'.-X..It'r....... -------------7.Sq. Ft. <br />S rd 3 x-`(-------- •----------p-- „ <br />x-------------- --------------- -t <br />q• Total ---------- <br />JA.. Sq. Ft. <br />Remarks.............. .---------------------------------------- <br />---------------------- Order Received ................................................. <br />Work Completed----------------------------------------------- <br />F.I .Qn <br />