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5. J.7riebe{�.1 9B � � J <br />W. �. Form ] � � � ' <br />CIT OF EVERET'T--Water Dept. <br />,, ; . ,� , <br />P.pplication No.�.:�.:�...1.�:...... Da e .................� ._7....................19.�/ <br />Install.......:��`�...........inch water service gipe <br />For ..................................1. ................................---........--•-- <br />q p�� t ................... .. <br />���-i- �, <br />On ......L..J....�.�...A.....r .:::::......:.....:........ .-�..�_.........---7�-----...... Street <br />. .. <br />Lot ............._�..�..�...----............................... Block No.---..../..�1.3.......----- <br />rlddition <br />Remarls �..� '-.� 1- �. ,�, .r_ � �..' �= � � � <br />......... ........................._...--�----..............---.....--.-�-•-................ <br />,_r.'_.' ; <br />" , , ;/ I <br />..._ ...................... .. ..(....._...�.�}......---�--.............� --.. :.�...:... • ....:... . <br />."`� �.'�-C' f j / �' ... ...Su rintendent <br />�� 1) _) De <br />� ' ,l , <br />�/ r.� L�BOR AP�D MATE6IAL IISED <br />—'- —........, r... <br />..... � ............... Lead Connection Complete <br />. ........... `.... . <br />� ..._....:..... Saddle Complete <br />....... .................... , . . <br />.%� ,� . .. . . <br />..................................................... Service Cock <br />................................__.................. Service Box <br />No. Ilours Labor ..............................................Cost.................................................... <br />Cutin ....................1'av�ment....................X........................ ........................Sq. Ft. <br />� �� <br />....................X........................ ,. <br />........................ <br />....................X........................ ,. <br />........................ <br />Totnl ........_ ..............Sq. Fl. <br />, <br />C '`� <br />OrderReceived .......:......................,.........................:....._......:.;_.........:.....:'. <br />.. ; , , ; <br />�� ork Comple[ed...... - _.........._�_� ....................:..........:..<:.�..........:....1.�. <br />• Foreman <br />