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�o� i -� �� <br /> 5 i Priebe{N 7 1 ' <br /> W. D.Form J <br /> CIT'Y OF EVERETT--Water Dept. <br /> Application No..�..9.1. Da e..............................!�'���(..�..19-,',�,�',� <br /> /�Install...........�..?-.:.........inch wate service pipe <br /> For .......................`�C.S.� .. .....� ........-�---...........--�----... <br /> On ........................��i �- � � .............................--�---. Street <br /> ... ........... ..................... <br /> Lot.........................P.Z:l_:l-..3'_a�....... Block No......,.�3a......---......-- <br /> Addition ............../.. .... .......................................................�..... ".......�........... <br /> Remarks .............L��"'_`�''..-.-....l���C.A�.�S�_ <br /> ............................................................................................................................. <br /> .......7 ....��.i......................................................"""'............................"""".... <br /> ....�:.g...�..o�..................................................................... .. � <br /> . <br /> .., _ � <br /> .......:^-�......re�.�..�.?�..�..'..�c.�l.�...........................................................per ..n nt� <br /> ���. <br /> LABOR AND MATERIAL U3ED � <br /> No. Size i <br /> .................................................. � Lead Connection Complete <br /> ......................................................� Saddlc Complete <br /> .......................ft._........................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost................................................... <br /> Cutin....................Pavemcnt....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ----- -- - <br /> � � <br /> i � <br /> Remarks..�......../„y.......�,` .�•w;�....�.�:.,..ax........ .................................. <br /> f" � <br /> ............................................................................................................................. <br /> ......................................................................................................................... <br /> Order Itecrived.........................s... /.................,/.�.. l,� <br /> • 7 T� .e c�• .[/(i[ <br /> .... <br /> \tork Completed.��.:1.F.-........ ........................ .�...................... <br /> � Foreman <br />