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9. J. PRI[IIC I. 3 G� <br />W. Il. fORM ] <br />CITY OF EVERETT--\Xlater Dept. <br />1 - - �, -�� <br />� <br />Apelication No..._....... :�..t�._l.�' Date ........ �E.�_�.....1965 ............. <br />- ..19...... <br />; <br />7�sta11 .............................. .inch water service pipe <br />i i �, � .: , . ..�..r .:.................... <br />, � . '-�..::.f ....::..::..... .................... <br />or .................. <br />...................:....... <br />,.'./ f _ ; -;, ,.....C..�:_�� ..................................... Street <br />On.................... ............................. <br />� � , � / -' <br />/ �'. . �i� -..... <br />Lot............� /G.....I..F.1.I.l.!c.��..../%. .: Block No ............................... <br />Rddition .... ....... <br />...................................................................... ..................... . <br />Remarks <br />........................................................."----' i . Superintendent <br />/i, <br />LABOR AND MATERIAL USED __ <br />Lead Connection Completc <br />Saddlc Complete <br />:............I Servicc Cock <br />Secvice Box <br />No. Hours Lab�r ..............................................a.osi............. <br />Cutin ........:...........Faver.�ent....................X........................ <br />....................X........................ <br />.................................... <br />........................Sq. Ft. <br />...................X........................ ........................ <br />�� <br />X........................ ........................ �� <br />.................... T � t a I <br />........................Sq. Ft. <br />---- ---- .. --- <br />� � <br />_ <br />� r , , : . ...................... <br />Remarks .......::.:....:.............::..:.-:.:.................:..._>............ _.......... <br />� � . � �+�k, r�(� .;. .;t - % .... .........../��.:r..... <br />r,�..,�, _ ......................................:.. : . <br />........ ....... ...... ................ . <br />...................................... - <br />OrderReceiced ...................................................................:.._..._::........:. .. <br />\Vork Completed ..........................................................................F,-,reman .. <br />, <br />