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5 J. Prirb, 4M L <br />W. U. Form ) <br />CITY OF EVERETT--Water Dept. <br />Application No.._..... l_a4... 9Dale... ....................... ........ :........ <br />..19 a.. <br />Install ....... ..................... ' ch water service pipe <br />1 <br />For............ .:.... .....� �......... ............ <br />i <br />On ... ............ J` )J../............ :�s:::!. ?.....`..........r:-- Street <br />Lot.............................................................. Block No ................ <br />Addition..............................................................................T... <br />Remarks ............. <br />.. - 1 -- _:... ............ :........... <br />............................. ............ .............. L:1.:.... ............................. <br />i <br />Superintendent -. <br />ANP MATERIAL USED <br />L ead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. hours Labor............... ...... ........................ Cost. .......... .... .... .............................. <br />''ut in....................Pavement.................... X... ................. ... ....... ................ Sq. Ft. <br />.................... X....... .... I. ........ •. <br />.................... X.......... I............. .. <br />Ir <br />Total ........................Sq. Ft. <br />Remarks........................................................................................................... <br />.............................. .......................................................................... :.... _.......... <br />..... i <br />OrderReceived... ............................................_............................................. <br />WorkCompleted_...................................................................................... <br />Foremen <br />