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5 i. Priebe�Fi 7-Ib 53 � � � "� � - � <br />w. o. e,r,o � <br />IT OF E ERETT--Water Dept. <br />/�{�/. r) <br />App!ication No..l...l...`(:...�..... Date .............................�r.. ...A.....19�� <br />n Install...........� ._�!�._...inch wate service pipe <br />� ' • � . :' . '" <br />For...............y...° ...:......�...r....::<..............�...::::._ ..�........................... <br />On .................-:T.�. �%.........i��..G.tir.�::::t.:<��..---�---- Street <br />Lot.....:....................:................................... Block No.................---............----• <br />Additinn .......\...../..::�............................. ... . . . . � .. <br />......... ..... . . ...... ................. <br />_ ' <br />Remarks Y��:::::.:.,.!."...1._:.:�4,:.�....a .................:......--:...-.......1. <br />......... <br />, _ <br />........................ ��......:.........................................................---.......::..... <br />/// .� 1 <br />f '._�. .Jr^� ......................................_ ........................._....'.,..�._... � <br />.. ... .. <br />� <br />...... .._ ....................................................................................u.��/.: .. , ,. <br />I Superinyteadeqt <br />� i� <br />Y.ABQR AND MATERiAL IISED <br />No. Size � <br />--- -- - -- <br />......................................_........._.._I Lead Connection Complete <br />.........-- ..........................................I Saddlc Comp2ete <br />.......................ft. ...........................I ........................................................................Pipe <br />......................._.............................i Scrvicc Cock <br />..._ ...................... ......................... Sc�vice Box <br />f:�. I:ours La6or .............................. <br />Cut in._ .................Pcvemrnt........... <br />........................SQ. Ft. <br />........................ �� <br />........_............ ........................ ............._......... .� <br />__ .............X........................ „ <br />.. ........................ <br />Tolal ......_ ................SQ. Ft. <br />�---------- --------- <br />--- --- _ <br />� i <br />Raraarl:s .................:..:..........................:....._....................... ..'..._.......f............. <br />� � <br />. , . , <br />, <br />.................... ............................:. . !..(.._� ..:.......... <br />.................._.... ..... . _ ,. <br />.` <br />Crder i�ccciecd .......................................... <br />iCork Com,r,leted..:.:. � t' '. .1...... <br />.... :........ .. <br />Foreman / <br />