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5 ).Priebe<M].iF]�.+5� � • {�/ " - — � -� ,/ � <br /> W. D.Fo�m 3 <br /> GITY OF EVERETT--Wate� Dept. <br /> App]ication No..�.�.�..7..�. Dat �... .1. �....19_..:..� <br /> �j ' <br /> , <br /> . .�..... <br /> Install........:-i..f..'�-.. --.incl/j atcr service pipe <br /> ��� '' � ,. ..� �..,` <br /> For �.- �- � .....-. ....................._.-- <br /> :��1 � r.,.`._..........!..._. <br /> ...... ...............-�- <br /> -�� ................. Street <br /> � �-i-: r .,ti_s <br /> �.e.. � rr-.:::::::.:.._....-- <br /> On .................... ..............- .-..._... <br /> Lot.........................__........__......._.._.......... Blodc No.._....................-----..._... <br /> Addition _........................ --.... <br /> ..................................................:................: <br /> �'ll, . �-'...._ �::t:!�::��:',..:s::S__..........---....... <br /> Remarks �-- �`k <br /> ........................ <br /> _....._.............._.................................._...................................--- ��--_............ <br /> ._._�. -�--- <br /> ,, ,,,,.._......�';.............. <br /> ( ._.... <br /> r.:....._... . <br /> .............-.. ............... <br /> � ., , �............... <br /> >: �. �����yQ� d'� ........_..................__.......... �).;_,-. . � <br /> �._...... �.. A �/�Y�...................................Su e i t: ! (f.JG�., i .l. . <br /> � �� <br /> -.............. <br /> :�o __�..: �f/ �-- e dent <br /> i �•l, <br /> O ';;3' I,AgQft AXU �`.A4'E2IAL USED � <br /> No. ��_Size--�--�— �- <br /> -- —--'— <br /> ...._..................._.................___....I Lead Connrctian Complete <br /> . ..........................: Sndclle Complete <br /> ..._....._.............. . <br /> - -...._................Pipe <br /> .......................ft............................ .............................................. .. <br /> .._.............._....... <br /> ........................._ Se�vicz Cock <br /> .................................._......._........ Service Box <br /> ...................................................... <br /> ............ <br /> ._........._...... ......_....__......................................._................ <br /> .............._...__................ <br /> Vo. Hour= LaUor...._....___..._......................-..Cost..................._.............................. <br /> Cutin........__....._PavemmL................._]:._....__............. .--...................Sq.Ft. <br /> ........... <br /> ........:{........................ ........................ „ <br /> ..._..............:rC........................ ........................ ., <br /> ....................X........................ ........................ <br /> �� <br /> 'Potel ................... S9.Ft. <br /> -. ._— ---_`---- <br /> -- — <br /> .--_—,.�--_—T " <br /> Retn a r ks..:�..:.�........................... <br /> ........._.._._...........__.............................. <br /> __......._.........._....._.......................................................__.. ................ <br /> __....__.._.. ............_................__.......................................... .... ..-- ..... <br /> OrderReceived...._..............__...._...............................L.....:..........;.-..;.'--'. � <br /> _ ._._. :.:..:.:.... ::...:....._. :. <br /> \�or�: Completed................._..........._..........___ . <br /> roreman <br />