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s.J.Prieb.4M M6198$553 4 �I O �' —' <br />W. U. Form <br />CITY OF EVERETT,,Water Dept. <br />s . <br />Application No._j..... .::.L....;'.... Date ........ ..................................... 19...._ <br />Install.:...:..::..:..................inch water service pipe <br />For..........................1 ...................................... <br />.� - r <br />.................................... <br />Street <br />................................. Block No ....... ............. <br />Lot..........................f <br />Addition...................:................................................I............... , .......... <br />i <br />Remarks i <br />:.. .................. <br />............... ............. ............ ................ . ....... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. Size <br />-- <br />...-. .......... Lead Connection Complete <br />X SaddIF Complete <br />(. o- :, �•, '' . .............................Pipe <br />...................................... <br />.....)............. 3....... <br />Service C ck <br />.. <br />_..... ( Service Box (F a <br />...........:....._.,......,.................. <br />1._..__.......... ��............. . <br />R <br />No. Hours Labor- ............................ ... - ................................. <br />Cut in .................... Pavement ........ <br />............X................................................ Sq. , Ft. <br />....X........................ <br />.... X ........................ <br />y d.................... X........................ ........................ .. <br />Total ........................Sq. Ft. <br />--......................................... <br />0 <br />OrderReceived ............... ............ ...... . .................. ..........._. ............... <br />\York Completed ........................................ ...............................Foreman... <br />