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5 J. Priebe��9� �� L <br />W. D. Fprm J <br />I EVERETT--Water Dept. <br />Application Nc_.::.._� -- -..... Date .....................: ........................19_..... <br />Install........_ .....................inch water service pipe <br />For......................................................................-.....--.._.............................-- <br />� ,.. <br />On..............::...:.:...-- ..........:....................................:.......................... Street <br />Block No.... <br />Addition <br />Remarks <br />.............. ........... <br />....................... .-......... _...................................................... i......... ..... _...--..::..... <br />� Superintendent <br />LABOR AND MATERIAL USED <br />Lio.__� Size _ <br />............................................I Lcad Connection Complete <br />....................._-..................' Saddle��te <br />i ; <br />�...........ft........... �..._..._� ..._._ � :- .9r. Jl..�,�.'�' .................................Pipe <br />........................................... Scrvic <br />........................................... Serv:cc Box <br />No. Hours LnUor ..............................................Cost.................................................... <br />Cutin...._..........._.Pavemcnt__ ................X........................ .........---........._.Sq. Fl. <br />I �� <br />� � r, ........_....._ ... ........................ <br />' << � � J � �_ .....iC ................._�.... '................._.�_ ., <br />_, <br />� ( x .............. ._......._............ <br />i � � <br />J � i " � � Total <br />� ........................Sq. Fl. <br />-- ---- ----- — <br />Rernarks................. � -..................................................................................... <br />....................... . ............................................................................................ <br />Order Received .... ......................................... . / <br />? - � . �� f ��........._ .. I <br />............ <br />'�\'orb: Comulcted.��'..'...�..........�.�.........!,:.....r. :..,t.r.`G�'..�U._........... 1 <br />Foreman � <br />