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S.J.Priebe Form 3 O r✓ - <br />5. J. <br />CITY OF EVERETT--Water-j0ppt. <br />Application No.._�l_._ Date.Lr I <br />I 'all/ 1 J� .-inch water service pipe <br />On - Street <br />IAc ��.... Street <br />Lot <br />Addition ............. ..............•-:jp. <br />Remarks ............ . <br />10 <br />-- ------ter_, <br />r_ - <br />LABOR ANDMATERIAL SED <br />No. <br />Size <br />_______ _____ <br />____________ <br />Lead Connection Complete <br />----------- <br />Saddle Complete <br />•-_-_..t./._ <br />_______ <br />________ _ __ _ __ __ _.___..-.Pipe <br />........ .... <br />.........___. <br />Service Cock I ,' <br />.............. <br />_____________________......._......................_......_ <br />______________________________ <br />_______________ <br />............... <br />Service Box <br />...........___-___.__--i ......... ....-._.._-._-__._-__. -_.-_ <br />... ............... <br />_____________------ __------------ _-------------- _--- ____ i <br />- <br />No. Hourt Labor_ ./ . ............ ..I Coe -I �: .7Y...-.. -------------- - <br />Cut in -----_---_Pavement.._- ........ X ............. . --- ..-. Sq. Ft. <br />� 70............ X------------ - ' .. <br />—IPA Lam , ( ------------X ............. ------•- <br />J/.. <br />�'._ .. <br />-.._.._..... X.....--------- -------------- �. <br />Total .... ........... Sq. Ft. <br />Remarks------------------------------------- ---- ----- - - - <br />--------------------------------------------------------- ---- <br />Order Received ----------------------------- <br />Work Completed <br />. t �• <br />