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, <br /> S.1.Priebe�FS�.�/19t�3 �� - _ . �) � . <br /> W.D.Form J � I - <br /> CITY OF EVERETT--Water Dept. <br /> , , � ; .. <br /> Applic�tion No...�.:�..`.��...��. Dat ! • :....19..:.... <br /> - - <br /> ...................................... . <br /> Install...... -� ..x:.........inch water service pipe .� <br /> 1......-i . <br /> i -� � , � / <br /> I/, j �l ;^ . -..� , . � n A-��� <br /> r01' ................�'».::.1:`.....i...r.:.:....................::...........:.:._:...:..1:....._...:..:.......�.. ' L <br /> � l � <br /> 1 / <br /> / � y_�.....:.�...:�.:....:[�..:_�.....::............................ StL�t <br /> On ................................ . <br /> Lot.............................................................. Block No........_.....................-�-•-- <br /> Addition .... :j:................................................ <br /> ........... -- <br /> �................................. <br /> Remarks 11,L ;.1i�... ..��.::�:i.�.�:..:r.__:,,.✓........ ...... <br /> .......................................................................................................................... <br /> ................. .�`.. ...........................�.........................................................'.. <br /> ........ .. <br /> J"� . <br /> t � � , • <br /> ..........::1....���.� . ..._.................................................... .... . .�... <br /> x �..., , . ,� � �`�/. <br /> _...... q�.„'. ..�.. ....................... ......�.........�...................�.....�.....•�.11�..'�''"' ' . <br /> E � ,j � � i �f j •�i� �� • Sup=ri Jtandent� <br /> �,� � : ,AB�R AND MATERIAL IISED � <br /> No. �� 91ie�� <br /> --- i , <br /> .....................................................I Lead Connection Complete <br /> ...................................................... S,ddlc Complete <br /> ......................ft...........................� ..........---...........................................................Pipc <br /> ..............._..... ........_.................. Service Cack <br /> ...................... ...�........................... Servicc Box <br /> ...................................................... ................................................................................................................ <br /> ..................................................... ................................................................................................................ <br /> No. Ilours I.aSor.............................................Cost.................................................... <br /> Cutin....................Paveni�nt....................7C........................ ........................Sq.Fl. � <br /> ....................X........................ �� <br /> ......._............... <br /> ...... .............X........................ �� <br /> ........................ <br /> ....................X........................ ., <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --- <br /> -------------�------------ <br /> Pemai9•s�1'.`�...�.....:..:'...:................................................................................... <br /> � <br /> `� i <br /> _..............._..................r..................................................._........ -._.............;..; ,. <br /> ......................................................................................................:.................. <br /> OrderIiecri��ed..........................................._......:........................................... <br /> l'vnrlc Completed...:.-.-::.:.........:...:_':........�::.....1........... ................................ /: <br /> Foreman <br />