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5 J.Priebe�M�b� �� • `� �• ' <br />W. U. Form � <br />CITY OF EVERETT--Water ept. <br />r ii r _ � <br />7 � ....: � <br />. i :..........................—........... <br />Application No..�/..'J��- �-���• Date..�j <br />Install.......�.'-==`/�-•�-•-�inch water service pipe <br />. ............. <br />On ................��: �-�-`�...._.,.,t.'��r+:.:'?`::,:L.f.:�....�_-""_-'.-• Street <br />- -....... Block No........------ ..................... <br />Addition................... j._....................................;,y................--.................... <br />,{�...................................... <br />Remarks....................{.*r.._-...:.,L._c.:....'.....>:..:.�.�.,.�— <br />�r <br />� <br />.......... <br />-� , : �' �....L'...J:�.`:......._"-"" <br />.... ........... ....:::�:-. <br />..........................���� � ,i.t/��. SuPerintendent <br />�r'— <br />LABOR AND 6fATERIAL USED <br />No. Iiours Labor <br />Cutin........._._.._.. <br />Remacks........ <br />Lead Connection Complele <br />Saddle �'�omplcic ��;� <br />....................._C.�.........:.....r�P� <br />s���;�� co�x <br />Scrvice Box <br />............ _ . .. _ ........... _ <br />_ _ .............. _............... <br />Total <br />........................59. Ft. <br />........................ �� <br />........................ .� <br />........................ „ <br />_.Sa. Ft. <br />............................ <br />..... ........................................................................ <br />............. <br />................................................. .... . <br />Ordcr Recciced_........- ............. ,_. , ' <br />� 3 � :. : ,� :-.- <br />. . ......... <br />\Vorl: Completed ......................................................................'"Forc n <br />