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5 J.Prie6elM7-1639�/O(A O <br />W. D. Porm � V <br />CITY OF EVERETT--VG'ater Dept. <br />Application No..�1.�..��..�?..� <br />service pipe <br />For ..............L"L.r.. GtC.nn-0L�..'.....Lq.L'�.�J/x.....5%0....:...----...------.... <br />On ............°��..!..�.4.......��.1.._�.....tb���•�---- Street <br />Lot................../................ � .... Block Itlo........---�--....................... <br />Addition .i.4.'Yv.}:.��...:..' � ................................................--......... <br />Remarks.............�.....................�...............:..;.........-�-•-��---.........---..........-�--- <br />....��. � � _ . <br />. . . .....Y.....� :............. . ...�.........� ............. <br />.........�r.�.pr.f.n�..y� ....................................... .......................r.........._.............. � <br />• Superintc•ndent <br />i LABOR AND 11iATERIAI� U9ED <br />— :to. <br />Lead Conncetion Complete <br />Snddle Complete <br />........................:..I...........................I Scrvicc Cock <br />_._ ................... _ _......................_. Servicc Box <br />-+— <br />...............Yipe <br />Nu. Hours Labor ............................................Cost.................................................... <br />Cutin...._ __......__Favement_ ..................X........................ ........................Sq. Ft. <br />..................X........................ .� <br />........................ <br />...................X........................ �� <br />........................ <br />v .� <br />Totul ......... ..............Sq. Ft. <br />r �. „ <br />.........Sx .l,� .....:.:.:.:.....:..:.. <br />........................ .... ......---........................................................................................ <br />� � <br />' �� 1 i:� <br />_... - ..........._ ...................................................................................�','j' i:'..r, 1 <br />�.. <br />Order Received .................... r.....:...:..(.�i.L... ....._. <br />. . <br />.. .......... ....................... <br />: .�_,,.�•, � <br />\'rork Completed..:y..�:%.�� ..........:...._:.............__.....:...:.........._........... ... <br />Forema <br />