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s z -� � �. <br />5 J. Priebe�M 7dF 199 5 ' � <br />W. U. Form J <br />CITY� OF EVERETT--Water Uept. <br />� � � ;�.�i <br />Applicatien No.... `.��. � �—.. Da e ........................... _::� ...%....19..:... <br />, � Install.....�,'.�y .............inch water service pipe <br />Fbr.._ ......:...:......:.........�._....:..:..._._..:..c..:.:..._.............................._............. <br />'l <br />� .h <br />On ............::.:1._::....:...a..--..::: .:. ?% -........................ Street <br />Lot.........................--....................--�----...... Block No........---------............------ <br />Addi!ion ......... �::.�V...._........:�..._�.........^...} .....................•-- ...... <br />....... _�,.•..� �/._ ........�... <br />Remazlcs .......... ..... ,. ?..t.._._._-•-- <br />� 1�1. � `� <br />�1:..':.�.x� , � t , /. ' <br />.......J ... ....... ..................." <br />. ,..----- ----- -- --. ...---- ------------- --`------ -----.'�---- -------- <br />�m <br />-- "'; <br />.:/7 <br />No. <br />,, � <br />..� .................. _ . <br />AND MATERIAL USED <br />...i Lcad Connection Complcic <br />...� �addle Complete <br />......................... <br />Service Cock <br />Scrvicc Box <br />No. I�Iours Lr�Um•._ ..........................................Cost. <br />Cut in......._..........Pavenunt ....................X..__....... <br />, <br />_ _ . ........................Sq. Ft. <br />..... ........................ �� <br />__...X........._ ............. �, <br />............. .---.................... <br />� ....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />— ------ - - � -----_----- -- <br />i . , <br />Renarks..11.. � ...:............................... ...:........................_.........................._... <br />; <br />_....__ .......................................---- ............................._................---............ <br />................... ............................ <br />Order Fteceived.........._.......... <br />��'ort: Completed...��.._.._.... <br />� . . <br />� Foreman ` <br />�- <br />