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S. J Priebm ' <br />CITY OF EVERETT--Water Dept. <br />Application No: ------ '- <br />Date. ---.=-•-----�------- <br />install._ - --- '= <br />--------- water service pipe <br />For ' •r���iy1.:cG. i��.._...�__.. _.Street <br />On y_... - <br />--•.�" .. <br />__•_..BlockNo..... <br />Lot------'- -------.. <br />Addition ----•-- �t <br />Remarks ---------- 1 <br />A - <br />LABOR AND DiATERIAL <br />— SizeNo' _ — -- <br />........ ... .. .. <br />Lend Connection Complete <br />.............. Saddle Complete <br />...... ..... .... _:....._...________Pipc <br />-.- (t ._._� _ _ I <br />�---�-J-- �/ •, Service Cock <br />Y <br />'-_---''---------•-••� SGNICG BOX n <br />? _i_��_ /U ................... <br />_____/"Y <br />............... .. ....... --------------- <br />__._.. .--------------- <br />Sq. Ft. <br />Cut in ------------ Pavement .------- ._.X ............. �• <br />----.----_.X............... -... ............... .. <br />1 --X ._ ----•---- <br />....... ....... <br />O Totnl <br />_----•--_'_._ <br />Remarks______________ � ----------------- <br />-------------- <br />otaet Received_. _ <br />Work Completed ----------' <br />